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1568141034
EHSAN SHA'BAN
KANSAS CITY, MO
NPI
1568141034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO 2023019561)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
EHSAN SHA'BAN MD
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-4175
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Mailing Address
EHSAN SHA'BAN MD
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-4175
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