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1912213950
IDA J KURUVILLA
GLEN BURNIE, MD
NPI
1912213950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MD 11127)
Enumeration Date
2010-08-27
Last Update Date
2010-08-27
Business Address
MRS. IDA J KURUVILLA BS
7501 RITCHIE HWY
GLEN BURNIE, MD 21061-3716
Phone number: 410-766-5220
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Mailing Address
MRS. IDA J KURUVILLA BS
7501 RITCHIE HWY
GLEN BURNIE, MD 21061-3716
Phone number: 410-766-5220
Copy
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