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Individual

SWARNA LATHA SUDANAGUNTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
809 E NAVARRO AVE, DE LEON, TX 76444-1275
(254) 893-2075
Mailing address
111 S AUSTIN ST STE B, COMANCHE, TX 76442-3261
(302) 747-6780

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2125970
TX

Other

Enumeration date
08/21/2018
Last updated
08/21/2018
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