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1316146756
MAZEN RAFIQUE AL-MANSOUR
SPRINGFIELD, MA
NPI
1316146756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: FL ME144439)
Additional Taxonomies
208600000X Surgery
(Licence: MA 250915)
Enumeration Date
2007-07-16
Last Update Date
2020-03-05
Business Address
MAZEN RAFIQUE AL-MANSOUR M.B.B.S
2 MEDICAL CENTER DRIVE SUITE 308
SPRINGFIELD, MA 01107-1270
Phone number: 413-794-7020
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Mailing Address
MAZEN RAFIQUE AL-MANSOUR M.B.B.S
1600 SW ARCHER RD BOX 100109
GAINESVILLE, FL 32610
Phone number: 352-265-0761
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