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1215632336
HIRA EJAZ SHAH
PINE BLUFF, AR
NPI
1215632336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-31
Last Update Date
2023-04-10
Business Address
HIRA EJAZ SHAH M D
1601 W 40TH AVE
PINE BLUFF, AR 71603-6069
Phone number: 870-541-6010
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Mailing Address
HIRA EJAZ SHAH M D
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603-6069
Phone number: 870-541-6010
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