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1003168824
IMTIAZ HAROON MEMON
ST PETERSBURG, FL
NPI
1003168824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9106741)
Enumeration Date
2012-10-03
Last Update Date
2014-09-02
Business Address
Mr. IMTIAZ HAROON MEMON PA
6000 49TH ST N ST. PETERSBURG
ST PETERSBURG, FL 33709-2114
Phone number: 727-521-5510
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Mailing Address
Mr. IMTIAZ HAROON MEMON PA
1209 CANYON OAKS DR
BRANDON, FL 33510-2173
Phone number: 561-798-3164
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