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Individual

JANAKI GAUTAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1086 W KING RD APT ASH317, MALVERN, PA 19355-1975
(740) 760-1178
(000) 000-0000
Mailing address
1086 W KING RD APT ASH317, MALVERN, PA 19355-1975
(740) 760-1178
(740) 760-1178

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP034922
PA

Other

Enumeration date
01/06/2026
Last updated
01/06/2026
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