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1497496483
ALIY MIRZA AHMED
SCRANTON, PA
NPI
1497496483
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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
2022-04-05
Last Update Date
2022-04-05
Business Address
ALIY MIRZA AHMED DO
501 S WASHINGTON AVE
SCRANTON, PA 18505-3814
Phone number: 570-343-2383
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Mailing Address
ALIY MIRZA AHMED DO
2760 PEBBLE HILL TRCE
DULUTH, GA 30097-4381
Phone number:
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