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An allergy and immunology physician who specializes in clinical and laboratory immunology disease management.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical & Laboratory Immunology |
207KI0005X | 03 | Physician/Allergy/ Immunology |
| NPI # | 1073269809 |
| LBN Legal business name | MORIKEN |
| Authorized official | CHARLES WALKER - (ACCOUNTANT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/02/2022 |
| Last updated | 03/02/2022 - About 4 years ago |
| Identifiers | n/a |
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MORIKEN
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MORIKEN