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1134306764
MQISLAM MD LLC
HAZARD, KY
NPI
1134306764
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Entity Type
Organization
Authorized Contact
MOHAMMED ISLAM
Owner
606-439-2662
Organization Subpart ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: KY 36373)
Enumeration Date
2008-01-25
Last Update Date
2008-01-25
Business Address
MQISLAM MD LLC
1908 N MAIN ST SUITE 230
HAZARD, KY 41701-2505
Phone number: 606-439-2662
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Mailing Address
MQISLAM MD LLC
1908 N MAIN ST SUITE 230
HAZARD, KY 41701-2505
Phone number: 606-439-2662
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