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1275161796
MAFAZA KHAN
SAINT LOUIS, MO
NPI
1275161796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2023010200)
Enumeration Date
2020-03-30
Last Update Date
2023-09-11
Business Address
MAFAZA KHAN MD
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6339
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Mailing Address
MAFAZA KHAN MD
621 S NEW BALLAS RD STE 112A
SAINT LOUIS, MO 63141-8252
Phone number: 314-251-6339
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