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1417995119
ISHAK LUKAS ENGGANO
TUPELO, MS
NPI
1417995119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MS 10209)
Enumeration Date
2006-06-03
Last Update Date
2007-07-08
Business Address
Dr. ISHAK LUKAS ENGGANO M.D.
830 S GLOSTER ST
TUPELO, MS 38801-4934
Phone number: 662-620-1468
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Mailing Address
Dr. ISHAK LUKAS ENGGANO M.D.
PO BOX 1507
TUPELO, MS 38802-1507
Phone number: 662-620-1468
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