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1346458411
JOHN JACOB KAKKANATHU
SAINT LOUIS, MO
NPI
1346458411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2009008964)
Enumeration Date
2007-05-20
Last Update Date
2014-07-17
Business Address
Dr. JOHN JACOB KAKKANATHU M.D.
621 S NEW BALLAS RD SUITE 3016B
SAINT LOUIS, MO 63141-8232
Phone number: 314-251-6339
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Mailing Address
Dr. JOHN JACOB KAKKANATHU M.D.
621 S NEW BALLAS RD SUITE 3016B
SAINT LOUIS, MO 63141-8232
Phone number: 314-251-6339
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