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1265610695
MAZEN I ALHAMODY
EL PASO, TX
NPI
1265610695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX 07-339)
Enumeration Date
2008-02-07
Last Update Date
2008-02-07
Business Address
-- MAZEN I ALHAMODY SA-C
2311 N MESA ST STE C
EL PASO, TX 79902-3575
Phone number: 915-545-1101
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Mailing Address
-- MAZEN I ALHAMODY SA-C
205 W BOUTZ RD BLDG # 1
LAS CRUCES, NM 88005-3262
Phone number: 575-532-7000
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