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1568896801
LIJY J KUTTUKARAN
DECATUR, GA
NPI
1568896801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN 180822)
Enumeration Date
2013-08-22
Last Update Date
2013-12-01
Business Address
-- LIJY J KUTTUKARAN NP-C
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
-- LIJY J KUTTUKARAN NP-C
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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