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1356684229
MEHDI POURMORTEZA
JOHNSON CITY, TN
NPI
1356684229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0102204343)
Enumeration Date
2013-03-29
Last Update Date
2019-03-29
Business Address
Dr. MEHDI POURMORTEZA D.O.
809 LAMONT ST
JOHNSON CITY, TN 37604-5453
Phone number: 423-926-1171
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Mailing Address
Dr. MEHDI POURMORTEZA D.O.
PO BOX 4000
MOUNTAIN HOME, TN 37684-4000
Phone number: 423-926-1171
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