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Individual
SIJU C GEORGE
Active
Individual
SIJU C GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, DABR
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
TRP485
FL
Other
Enumeration date
10/06/2016
Last updated
11/29/2016
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