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1154940674
SINA KOOCHAKZADEH
GAINESVILLE, FL
NPI
1154940674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
SINA KOOCHAKZADEH
1345 CENTER DRVE RM2-M228
GAINESVILLE, FL 32610-0001
Phone number: 352-273-5199
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Mailing Address
SINA KOOCHAKZADEH
PO BOX 100264 1345 CENTER DRVE RM2-M228
GAINESVILLE, FL 32610-0001
Phone number: 352-273-5199
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