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1083212732
KOSHY VELLAVOOR JOSE
LUFKIN, TX
NPI
1083212732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP144410)
Enumeration Date
2020-10-14
Last Update Date
2020-10-14
Business Address
Mr. KOSHY VELLAVOOR JOSE APRN-CNP, FNP-C
207 HEATHER ST
LUFKIN, TX 75904-4845
Phone number: 936-465-0396
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Mailing Address
Mr. KOSHY VELLAVOOR JOSE APRN-CNP, FNP-C
207 HEATHER ST
LUFKIN, TX 75904-4845
Phone number: 936-465-0396
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