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1497847388
LEENA FATIMA KIZILBASH
DUBLIN, GA
NPI
1497847388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084A0401X Psychiatry & Neurology, Addiction Medicine
(Licence: NH 12966)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
-- LEENA FATIMA KIZILBASH MD
1826 VETERANS BLVD
DUBLIN, GA 31021-3620
Phone number: 800-562-8663
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Mailing Address
-- LEENA FATIMA KIZILBASH MD
22 HAYDEN ST
ROXBURY CROSSING, MA 02120-3376
Phone number: 312-953-2839
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