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Individual

RANI SAMYUKTHA DEVABHAKTUNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
164 CLINT DR, PICKERINGTON, OH 43147-7994
(732) 610-6764
Mailing address
164 CLINT DR, PICKERINGTON, OH 43147-7994

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.028034
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/29/2024
Last updated
05/24/2025
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