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1063915957
ALI BUSOUL
FORT WORTH, TX
NPI
1063915957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX T1308)
Enumeration Date
2018-03-16
Last Update Date
2024-05-15
Business Address
ALI BUSOUL DO
2830 S HULEN ST # 365
FORT WORTH, TX 76109-1514
Phone number: 817-239-3915
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Mailing Address
ALI BUSOUL DO
2830 S HULEN ST # 365
FORT WORTH, TX 76109-1514
Phone number: 817-239-3915
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