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Individual

MR. CHERIAN GEORGE MALIPURATHU

Active
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Individual

MR. CHERIAN GEORGE MALIPURATHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, MSN,FNP-BC, PTA

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
2004031658
MO
225200000X
Physical Therapy Assistant
2001024018
MO
225200000X
Physical Therapy Assistant
401
OK
363LF0000X
Family Nurse Practitioner
53-75922-092
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018012807
MO

Other

Enumeration date
10/19/2007
Last updated
04/08/2020
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