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1578040788
MOTASSAM KHALED
PHOENIX, AZ
NPI
1578040788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ s11510)
Enumeration Date
2018-07-20
Last Update Date
2018-07-20
Business Address
Mr. MOTASSAM KHALED
10 E DUNLAP AVE
PHOENIX, AZ 85020-2821
Phone number: 602-371-3709
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Mailing Address
Mr. MOTASSAM KHALED
12849 E SAHUARO DR
SCOTTSDALE, AZ 85259-4445
Phone number: 602-741-0117
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