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1174812788
JASEELA ILLATH
GREENSBORO, NC
NPI
1174812788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC 171996)
Enumeration Date
2011-04-04
Last Update Date
2013-08-23
Business Address
Mrs. JASEELA ILLATH M.D.
1200 N ELM ST
GREENSBORO, NC 27401-1004
Phone number: 336-832-7272
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Mailing Address
Mrs. JASEELA ILLATH M.D.
1200 N ELM ST
GREENSBORO, NC 27401-1004
Phone number: 336-832-7272
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