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Individual
MR. KIRAN MYSORE VENKATARAMU
Active
Individual
MR. KIRAN MYSORE VENKATARAMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14487
CA
235Z00000X
Speech-Language Pathologist
SLP4942
AZ
Other
Enumeration date
01/19/2007
Last updated
09/17/2010
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