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Individual
GEORGIA MARIA KOUSOULIS
Active
Individual
GEORGIA MARIA KOUSOULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
C5-0000659
DE
363A00000X
Physician Assistant
Primary
C0006463
MD
Other
Enumeration date
03/11/2009
Last updated
06/18/2018
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