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1588083372
SHAFAQ EJAZ
BOWLING GREEN, KY
NPI
1588083372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KY 50214)
Enumeration Date
2014-04-09
Last Update Date
2018-03-17
Business Address
SHAFAQ EJAZ M.D.
250 PARK ST
BOWLING GREEN, KY 42101-1760
Phone number: 270-796-6540
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Mailing Address
SHAFAQ EJAZ M.D.
250 PARK ST
BOWLING GREEN, KY 42101-1760
Phone number: 270-796-6540
Copy
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