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1134102528
JOHN MATHEW POOTHULLIL
LAKE JACKSON, TX
NPI
1134102528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: TX E6880)
Enumeration Date
2005-11-21
Last Update Date
2007-07-08
Business Address
Dr. JOHN MATHEW POOTHULLIL M.D.,F.R.C.P,F.A.A.P
201 OAK DR S SUITE 106
LAKE JACKSON, TX 77566-5676
Phone number: 979-297-8006
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Mailing Address
Dr. JOHN MATHEW POOTHULLIL M.D.,F.R.C.P,F.A.A.P
201 OAK DR S SUITE 106
LAKE JACKSON, TX 77566-5676
Phone number: 979-297-8006
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