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1568619120
VISTA SHAKIBA
MINEOLA, NY
NPI
1568619120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2008-08-25
Last Update Date
2008-08-25
Business Address
Dr. VISTA SHAKIBA M.D.
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-2288
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Mailing Address
Dr. VISTA SHAKIBA M.D.
260 1ST ST APT B2
MINEOLA, NY 11501-2302
Phone number: 516-858-0109
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