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1255078002
ALIREZA BAHADORKHAN
EL PASO, TX
NPI
1255078002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10081542)
Enumeration Date
2022-05-13
Last Update Date
2022-07-13
Business Address
ALIREZA BAHADORKHAN DO
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 850-377-5668
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Mailing Address
ALIREZA BAHADORKHAN DO
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-521-8000
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