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1023393196
TAREK H ELAWA
OSHKOSH, WI
NPI
1023393196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 16160-40)
Enumeration Date
2011-10-19
Last Update Date
2011-10-19
Business Address
Dr. TAREK H ELAWA
950 S KOELLER ST
OSHKOSH, WI 54902-6175
Phone number: 920-303-1712
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Mailing Address
Dr. TAREK H ELAWA
131 WYLDEWOOD DR APT # K202
OSHKOSH, WI 54904-8649
Phone number: 414-335-4608
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