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1417698903
MOEMEN AHMED KHATTAB
FONTANA, CA
NPI
1417698903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-06
Last Update Date
2022-08-24
Business Address
Dr. MOEMEN AHMED KHATTAB MD
17234 VALLEY BOULEVARD, BUILDING A
FONTANA, CA 92335-6720
Phone number: 909-767-2789
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Mailing Address
Dr. MOEMEN AHMED KHATTAB MD
17234 VALLEY BOULEVARD, BUILDING A
FONTANA, CA 92335-6720
Phone number:
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