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1669421293
NIKKITA F SOUTHALL
BALTIMORE, MD
NPI
1669421293
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Former Name
NIKKITA F. PESSOA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD D63236)
Enumeration Date
2006-05-10
Last Update Date
2014-02-21
Business Address
Dr. NIKKITA F SOUTHALL M.D.
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-5756
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Mailing Address
Dr. NIKKITA F SOUTHALL M.D.
PO BOX 64442
BALTIMORE, MD 21264-4442
Phone number: 410-328-5756
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