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Poornima
Poornima
Vanguri
Medical doctor
Piedmont, United States
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Florida Health Care Practitioner Data Portal
Full name
POORNIMA VANGURI
Job Title
Medical Doctor
Location
Piedmont, CA, USA
LIC ID
127120
Current License Expiration Date
31/01/2026
Original Date
15/01/2016
Professional Rank Code
ME
Effective Date
16/01/2024
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
INACTIVE
Country Description
Out of State
Practice Location Address Line 1
365 Lennon Lane
Practice Location Address Line 2
Suite 290
Practice Location Address City
WALNUT CREEK
Practice Location Address State
CA
Practice Location Address Zipcode
94598
Prescribing Indicator
N
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