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1184099699
SHAAWN BASHARAT ALI
LAFAYETTE, LA
NPI
1184099699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS 13703)
Enumeration Date
2015-12-09
Last Update Date
2019-09-19
Business Address
Dr. SHAAWN BASHARAT ALI D.O.
4212 W CONGRESS ST STE 3100
LAFAYETTE, LA 70506-6771
Phone number: 337-703-3201
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Mailing Address
Dr. SHAAWN BASHARAT ALI D.O.
PO BOX 919229
DALLAS, TX 75391-9229
Phone number: 337-289-8944
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