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1033203013
MIRZA S A BAIG
ALTON, IL
NPI
1033203013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036055642)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- MIRZA S A BAIG
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
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Mailing Address
-- MIRZA S A BAIG
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
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