GAVELYN POONNOPATAM

SIERRA VISTA, AZ
NPI1962021378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  010273)
Enumeration Date2020-04-15
Last Update Date2023-08-11
Business Address
GAVELYN POONNOPATAM DO
155 CALLE PORTAL
SIERRA VISTA, AZ 85635-2900
Phone number: 520-364-1429
Mailing Address
GAVELYN POONNOPATAM DO
155 CALLE PORTAL
SIERRA VISTA, AZ 85635-2900
Phone number: 520-364-1429
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