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1245416601
TAJAMMUL N FAZILI
SHREVEPORT, LA
NPI
1245416601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: PA 430449)
Enumeration Date
2008-01-16
Last Update Date
2008-01-16
Business Address
Dr. TAJAMMUL N FAZILI MD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Dr. TAJAMMUL N FAZILI MD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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