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Individual
SELENE CLARISSA KOO
Active
Individual
SELENE CLARISSA KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125059369
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.132164
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
62776
TN
207ZP0213X
Pediatric Pathology Physician
Primary
62776
TN
Other
Enumeration date
06/21/2011
Last updated
02/13/2025
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