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1073172003
ABOLFAZL KOWSARI
MAPLE GROVE, MN
NPI
1073172003
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Other Name
FAZY KOWSARI
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 6617)
Enumeration Date
2019-06-12
Last Update Date
2019-06-12
Business Address
Mr. ABOLFAZL KOWSARI CNP
9512 PINEVIEW LN N
MAPLE GROVE, MN 55369-7135
Phone number: 763-923-5608
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Mailing Address
Mr. ABOLFAZL KOWSARI CNP
9512 PINEVIEW LN N
MAPLE GROVE, MN 55369-7135
Phone number: 763-923-5608
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