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1891490868
PRAVEEN KUMAR BODDU
POUGHKEEPSIE, NY
NPI
1891490868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 045821)
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
PRAVEEN KUMAR BODDU
1 CIVIC CENTER PLZ STE 107
POUGHKEEPSIE, NY 12601-3158
Phone number: 713-452-9941
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Mailing Address
PRAVEEN KUMAR BODDU
1 CIVIC CENTER PLZ STE 107
POUGHKEEPSIE, NY 12601-3158
Phone number: 713-452-9941
Copy
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