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1952983488
SHANMUKHA SRINIVAS
LA JOLLA, CA
NPI
1952983488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-23
Last Update Date
2021-04-23
Business Address
SHANMUKHA SRINIVAS
9500 GILMAN DR DEPT 39
LA JOLLA, CA 92093-0039
Phone number: 408-613-5371
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Mailing Address
SHANMUKHA SRINIVAS
9500 GILMAN DR DEPT 39
LA JOLLA, CA 92093-0039
Phone number: 408-613-5371
Copy
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