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1376202861
FAYIZ MAHGOUB
BOULDER, CO
NPI
1376202861
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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
2021-12-11
Last Update Date
2021-12-11
Business Address
FAYIZ MAHGOUB OD
5305 SPINE RD STE B
BOULDER, CO 80301-3331
Phone number: 970-402-5789
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Mailing Address
FAYIZ MAHGOUB OD
501 W PROSPECT RD APT 33B
FORT COLLINS, CO 80526-2052
Phone number: 970-402-5789
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