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Individual
DR. SANKUNG SISE
Active
Individual
DR. SANKUNG SISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
15695
MD
1835P1200X
Pharmacotherapy Pharmacist
PH1000000018
DC
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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