MANI JACOB KALLUPURACKAL

CHARLOTTE, NC
NPI1154171650
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-26
Last Update Date2024-03-26
Business Address
MANI JACOB KALLUPURACKAL DO
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207-2134
Phone number: 704-446-1242
Mailing Address
MANI JACOB KALLUPURACKAL DO
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207-2134
Phone number:
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