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1124051826
ALIREZA BAZOOBAND
JACKSONVILLE, FL
NPI
1124051826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: FL ME90006)
Enumeration Date
2006-07-08
Last Update Date
2007-11-01
Business Address
-- ALIREZA BAZOOBAND MD
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Phone number: 904-202-1347
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Mailing Address
-- ALIREZA BAZOOBAND MD
800 PRUDENTIAL DR C/O BRENDA BAGGETT
JACKSONVILLE, FL 32207
Phone number: 904-202-1347
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