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1972756344
RAVISHANKAR PRASAD
JACKSON, TN
NPI
1972756344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TN sp0000002867)
Enumeration Date
2008-10-29
Last Update Date
2008-10-29
Business Address
-- RAVISHANKAR PRASAD SLP
121 PHYSICIANS DR
JACKSON, TN 38305-6011
Phone number: 731-664-5050
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Mailing Address
-- RAVISHANKAR PRASAD SLP
4 RACHEL DR APT # 3
JACKSON, TN 38305-8623
Phone number: 731-660-3471
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