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1184022758
MD MOINUL ISLAM
ODESSA, TX
NPI
1184022758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA09504)
Enumeration Date
2014-12-15
Last Update Date
2015-01-21
Business Address
-- MD MOINUL ISLAM P.A.
6030 W. UNIVERSITY
ODESSA, TX 79764
Phone number: 432-640-6600
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Mailing Address
-- MD MOINUL ISLAM P.A.
PO BOX 2129
ODESSA, TX 79760-2129
Phone number: 432-640-6600
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