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Individual
RAJASHREE KOPPOLU
Active
Individual
RAJASHREE KOPPOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
604243
CA
363L00000X
Nurse Practitioner
15247
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
15247
CA
Other
Enumeration date
05/22/2007
Last updated
08/08/2016
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