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1578687521
MOHAMMAD TAVASSOLI
INDIANAPOLIS, IN
NPI
1578687521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 02002291A)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- MOHAMMAD TAVASSOLI D.O
4902 E THOMPSON RD
INDIANAPOLIS, IN 46237-1905
Phone number: 317-786-1888
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Mailing Address
-- MOHAMMAD TAVASSOLI D.O
3230 RUE CHANEL APT 158
INDIANAPOLIS, IN 46227-6669
Phone number: 317-717-1894
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