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1801993290
LISSY KOCHUPLACKAL MENACHERY
COLUMBIA, SC
NPI
1801993290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 15188)
Enumeration Date
2006-09-20
Last Update Date
2007-07-09
Business Address
Dr. LISSY KOCHUPLACKAL MENACHERY MD
4500 STUART STREET MONCRIEF ARMY HOSPITAL ATTN MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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Mailing Address
Dr. LISSY KOCHUPLACKAL MENACHERY MD
4500 STUART ST MONCRIEF ARMY HOSPITAL ATTN MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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