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1518327022
ALLEN JUSTIN BAHERI
ROCK HILL, SC
NPI
1518327022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-06191)
Enumeration Date
2016-02-25
Last Update Date
2024-07-15
Business Address
ALLEN JUSTIN BAHERI PA
134 PROFESSIONAL PARK DR
ROCK HILL, SC 29732-1178
Phone number: 803-329-3130
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Mailing Address
ALLEN JUSTIN BAHERI PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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