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1932957008
VAKYA REDDY REVANUR
PEORIA, IL
NPI
1932957008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-13
Last Update Date
2024-07-22
Business Address
VAKYA REDDY REVANUR MBBS
530 NE GLEN OAK AVE, OSF ST. FRANCIS MEDICAL CENTER, IN ATTN: MARTI SOKOLOWSKI
PEORIA, IL 61637
Phone number: 309-624-9351
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Mailing Address
VAKYA REDDY REVANUR MBBS
530 NE GLEN OAK AVE, OSF ST. FRANCIS MEDICAL CENTER, IN ATTN: MARTI SOKOLOWSKI
PEORIA, IL 61637
Phone number: 309-624-9351
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