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1205911997
THOMAS J KOTTARATHIL
SALT LAKE CITY, UT
NPI
1205911997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 323614-1205)
Enumeration Date
2006-10-25
Last Update Date
2021-12-20
Business Address
THOMAS J KOTTARATHIL
1525 W 2100 S
SALT LAKE CITY, UT 84119-1401
Phone number: 801-581-2121
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Mailing Address
THOMAS J KOTTARATHIL
PO BOX 510708
SALT LAKE CITY, UT 84151-0708
Phone number: 801-581-2121
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