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1265627145
YULIANTY D. KUSUMA
SAVANNAH, GA
NPI
1265627145
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Former Name
YULIANTY D. HEANACHO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 061279)
Enumeration Date
2007-09-13
Last Update Date
2015-08-25
Business Address
YULIANTY D. KUSUMA MD
6413 WATERS AVE SUITE 102
SAVANNAH, GA 31406-2711
Phone number: 912-349-6624
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Mailing Address
YULIANTY D. KUSUMA MD
6413 WATERS AVE SUITE 102
SAVANNAH, GA 31406-2711
Phone number: 912-349-6624
Copy
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