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1508356460
SHADI SUHAIL MUSTAFA
WATERLOO, IA
NPI
1508356460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-11097)
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
SHADI SUHAIL MUSTAFA MD
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702-5047
Phone number: 319-272-2112
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Mailing Address
SHADI SUHAIL MUSTAFA MD
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702-5047
Phone number: 319-272-2112
Copy
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