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1265047450
OSAMA HAMED IBRAHIM ELAZZOUNY
AUGUSTA, GA
NPI
1265047450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: GA 12609)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
OSAMA HAMED IBRAHIM ELAZZOUNY
1311 BON AIR DR
AUGUSTA, GA 30907-3238
Phone number: 706-550-3242
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Mailing Address
OSAMA HAMED IBRAHIM ELAZZOUNY
1311 BON AIR DR
AUGUSTA, GA 30907-3238
Phone number: 706-550-3242
Copy
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