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1194425082
WALI M AHMADZAI
ITHACA, NY
NPI
1194425082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-03-08
Last Update Date
2023-03-08
Business Address
WALI M AHMADZAI
101 UPTOWN RD APT 9
ITHACA, NY 14850-1604
Phone number: 607-280-9684
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Mailing Address
WALI M AHMADZAI
101 UPTOWN RD APT 9
ITHACA, NY 14850-1604
Phone number: 607-280-9684
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