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1083714117
TAHIR M QAYYUM
BASTROP, LA
NPI
1083714117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 10850R)
Enumeration Date
2006-09-25
Last Update Date
2010-09-30
Business Address
-- TAHIR M QAYYUM MD
540 DURHAM ST
BASTROP, LA 71220-5013
Phone number: 318-283-2200
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Mailing Address
-- TAHIR M QAYYUM MD
540 DURHAM ST
BASTROP, LA 71220-5013
Phone number: 318-283-2200
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