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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI # | 1669657490 |
| LBN Legal business name | SANKAPHO MEDICAL GROUP PROFESSIONAL CORP |
| Authorized official | ROSALIND CROPPER - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/28/2007 |
| Last updated | 12/28/2007 - About 18 years ago |
| Identifiers | n/a |
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SANKAPHO MEDICAL GROUP PROFESSIONAL CORP
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SANKAPHO MEDICAL GROUP PROFESSIONAL CORP