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1588826838
KHALIL ABDUL WALLIZADA
ORANGE PARK, FL
NPI
1588826838
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Other Name
KHALIL ABDUL WALLIZADA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME0067026)
Enumeration Date
2008-06-27
Last Update Date
2008-06-27
Business Address
Dr. KHALIL ABDUL WALLIZADA MD
2140 KINGSLEY AVE STE 10
ORANGE PARK, FL 32073-5129
Phone number: 904-276-0005
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Mailing Address
Dr. KHALIL ABDUL WALLIZADA MD
2140 KINGSLEY AVE STE 10
ORANGE PARK, FL 32073-5129
Phone number: 904-276-0005
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