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1245000819
BOBAK AHOURAIE
PORTLAND, ME
NPI
1245000819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2024-01-04
Last Update Date
2024-04-24
Business Address
BOBAK AHOURAIE
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2414
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Mailing Address
BOBAK AHOURAIE
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number:
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