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1336777143
ART TAN KULATTI
SAN DIEGO, CA
NPI
1336777143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-28
Last Update Date
2020-03-28
Business Address
ART TAN KULATTI MD
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-576-1700
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Mailing Address
ART TAN KULATTI MD
2012 LEWIS MOUNTAIN RD
CHARLOTTESVILLE, VA 22903-2415
Phone number: 247-633-6006
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