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1629132683
TIPU SULTAN
FLORISSANT, MO
NPI
1629132683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207KA0200X Allergy & Immunology, Allergy
(Licence: MO R7234)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
Dr. TIPU SULTAN M.D.
11585 W FLORISSANT AVE
FLORISSANT, MO 63033-6740
Phone number: 314-921-5600
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Mailing Address
Dr. TIPU SULTAN M.D.
11585 W FLORISSANT AVE
FLORISSANT, MO 63033-6740
Phone number: 314-921-5600
Copy
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