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1164917506
MIRIAM MOKHTAR
AUGUSTA, GA
NPI
1164917506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: GA 010640)
Enumeration Date
2018-06-27
Last Update Date
2018-06-27
Business Address
MIRIAM MOKHTAR
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 705-721-5144
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Mailing Address
MIRIAM MOKHTAR
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number:
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