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1891257903
KAVITHAMANI MALLAN
DURHAM, NC
NPI
1891257903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC F01191504)
Enumeration Date
2019-04-05
Last Update Date
2023-05-11
Business Address
KAVITHAMANI MALLAN FNP
249 E HWY 54
DURHAM, NC 27113
Phone number: 919-907-3334
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Mailing Address
KAVITHAMANI MALLAN FNP
219 BEGEN ST
MORRISVILLE, NC 27560-9769
Phone number: 424-757-3022
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