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1104808302
CHAKKUNGAL P. DEVIDOSS
MARRERO, LA
NPI
1104808302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: LA 03747R)
Enumeration Date
2005-11-15
Last Update Date
2011-11-10
Business Address
Dr. CHAKKUNGAL P. DEVIDOSS M.D.
1111 MEDICAL CENTER BLVD SUITE S-555
MARRERO, LA 70072-3151
Phone number: 504-349-6808
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Mailing Address
Dr. CHAKKUNGAL P. DEVIDOSS M.D.
1111 MEDICAL CENTER BLVD SUITE S-555
MARRERO, LA 70072-3151
Phone number: 504-349-6808
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