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1508828344
IZZUDDIN ALI MANSUR
CROSSVILLE, TN
NPI
1508828344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: TN MD30604)
Enumeration Date
2006-04-05
Last Update Date
2021-06-14
Business Address
Dr. IZZUDDIN ALI MANSUR M.D.
49 CLEVELAND ST SUITE 220
CROSSVILLE, TN 38555-2855
Phone number: 931-707-8050
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Mailing Address
Dr. IZZUDDIN ALI MANSUR M.D.
49 CLEVELAND ST SUITE 220
CROSSVILLE, TN 38555-2855
Phone number: 931-707-8050
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