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1265965909
POUYAN NAMAKYDOUST
CANTON, OH
NPI
1265965909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-10
Last Update Date
2020-06-16
Business Address
POUYAN NAMAKYDOUST M.D.
2600 SIXTH ST SW
CANTON, OH 44710-1702
Phone number: 330-363-6223
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Mailing Address
POUYAN NAMAKYDOUST M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 212-440-1943
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