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1194810184
MODASER - SHAH
JOPLIN, MO
NPI
1194810184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MO R7170)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Dr. MODASER - SHAH M.D.
530 E 34TH ST.
JOPLIN, MO 64803-2526
Phone number: 417-347-7540
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Mailing Address
Dr. MODASER - SHAH M.D.
530 E 34TH ST.
JOPLIN, MO 64803-2526
Phone number: 417-347-7540
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