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1902567027
REVATHI KODALI
MILWAUKEE, WI
NPI
1902567027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 21178-40)
Enumeration Date
2022-01-02
Last Update Date
2022-01-02
Business Address
REVATHI KODALI
3860 S 27TH ST
MILWAUKEE, WI 53221-1307
Phone number: 414-282-7557
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Mailing Address
REVATHI KODALI
3860 S 27TH ST
MILWAUKEE, WI 53221-1307
Phone number: 414-282-7557
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