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1982380358
SRIVALLI ISUKAPALLI
STAMFORD, CT
NPI
1982380358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-06-22
Last Update Date
2023-09-11
Business Address
SRIVALLI ISUKAPALLI PA-C
1177 SUMMER ST FL 5
STAMFORD, CT 06905-5522
Phone number: 203-353-1133
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Mailing Address
SRIVALLI ISUKAPALLI PA-C
1290 SILAS DEANE HIGHWAY HHC-CVO
WETHERSFIELD, CT 06109-4337
Phone number:
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