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1952950958
KUSUMA LATHA AYITHEPALLI
SEATTLE, WA
NPI
1952950958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA61137144)
Enumeration Date
2019-09-11
Last Update Date
2022-01-17
Business Address
KUSUMA LATHA AYITHEPALLI PA-C
1221 MADISON ST STE 1220
SEATTLE, WA 98104-1356
Phone number: 206-215-4250
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Mailing Address
KUSUMA LATHA AYITHEPALLI PA-C
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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