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1083706469
GHULAM R. MIRZA
GRAND ISLAND, NE
NPI
1083706469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NE 21292)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
Dr. GHULAM R. MIRZA M.D.
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660
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Mailing Address
Dr. GHULAM R. MIRZA M.D.
1619 W CHARLES ST
GRAND ISLAND, NE 68801-6316
Phone number: 308-384-1347
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