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1942415732
ACHAMMA S ITTICHERIA
LEXINGTON, KY
NPI
1942415732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 44836)
Enumeration Date
2007-05-14
Last Update Date
2020-02-26
Business Address
ACHAMMA S ITTICHERIA MD
828 LANE ALLEN RD STE 219
LEXINGTON, KY 40504
Phone number: 502-498-4071
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Mailing Address
ACHAMMA S ITTICHERIA MD
PO BOX 3299
CARSON CITY, NV 89702-3299
Phone number: 775-222-0044
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