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Individual

KANJANAMALA AGORAMURTHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 CHILDRENS WAY # 512-19B, LITTLE ROCK, AR 72202-3500
(501) 364-3976
Mailing address
16000 RUSHMORE AVE APT 5203, LITTLE ROCK, AR 72223-7018
(818) 319-7853

Taxonomy

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

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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