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1144944612
REZA AGHAEI
COLUMBIA, MO
NPI
1144944612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2022037061)
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
REZA AGHAEI
619 N PROVIDENCE RD
COLUMBIA, MO 65203-4355
Phone number: 573-234-1070
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Mailing Address
REZA AGHAEI
223 N 9TH ST
COLUMBIA, MO 65201-4843
Phone number: 949-563-4255
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