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1518581149
ALIZA HASAN
SPRINGFIELD, IL
NPI
1518581149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: IL 125.076821)
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
DR. ALIZA HASAN MD
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702-4968
Phone number: 217-545-8000
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Mailing Address
DR. ALIZA HASAN MD
PO BOX 19644
SPRINGFIELD, IL 62794-9644
Phone number: 217-545-8000
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