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1861997868
NIKITA KOOTTIYANIYIL
AUSTIN, TX
NPI
1861997868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
NIKITA KOOTTIYANIYIL
2409 UNIVERSITY AVE
AUSTIN, TX 78712-1112
Phone number: 973-518-3184
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Mailing Address
NIKITA KOOTTIYANIYIL
5023 LOCKRIDGE SKY LN
SUGAR LAND, TX 77479-6805
Phone number: 973-518-3184
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