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1134462849
ALI DODGE-KHATAMI
JACKSON, MS
NPI
1134462849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: MS 865-L)
Enumeration Date
2013-04-01
Last Update Date
2014-02-18
Business Address
Dr. ALI DODGE-KHATAMI MD
2500 N STATE ST DIVISION OF PEDIATRIC CARDIAC SURGERY
JACKSON, MS 39216-4500
Phone number: 601-984-4693
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Mailing Address
Dr. ALI DODGE-KHATAMI MD
2500 N STATE ST DIVISION OF PEDIATRIC CARDIAC SURGERY
JACKSON, MS 39216-4500
Phone number:
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