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1578852109
SUNNY KOIPURATHU PHILIP
LODI, CA
NPI
1578852109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: CA A151375)
Enumeration Date
2011-04-05
Last Update Date
2018-02-13
Business Address
Dr. SUNNY KOIPURATHU PHILIP M.D.
801 S HAM LN STE S
LODI, CA 95242-7503
Phone number: 209-366-2616
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Mailing Address
Dr. SUNNY KOIPURATHU PHILIP M.D.
2626 N CALIFORNIA ST STE B
STOCKTON, CA 95204-5500
Phone number: 209-466-2626
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