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1538645544
SUSAN MAHMOUD KHALED KULLAB
JOHNSON CITY, TN
NPI
1538645544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
SUSAN MAHMOUD KHALED KULLAB MD
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6056
Phone number: 423-439-7280
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Mailing Address
SUSAN MAHMOUD KHALED KULLAB MD
1084 W OAKLAND AVE
JOHNSON CITY, TN 37604-2551
Phone number:
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