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1346597804
BARDYA MOSTAFAVI NAEINI
FLORENCE, AL
NPI
1346597804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL MD.33091)
Enumeration Date
2012-08-14
Last Update Date
2020-05-07
Business Address
BARDYA MOSTAFAVI NAEINI
2107 CLOYD BLVD
FLORENCE, AL 35630-1503
Phone number: 773-242-3464
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Mailing Address
BARDYA MOSTAFAVI NAEINI
310 CENTER POINT LN
FLORENCE, AL 35634-2012
Phone number: 256-229-6262
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