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1598349151
AZADEH MIRBOD
RICHLAND, WA
NPI
1598349151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA ML61166819)
Enumeration Date
2021-05-10
Last Update Date
2021-05-10
Business Address
AZADEH MIRBOD MD
940 NORTHGATE DR
RICHLAND, WA 99352-3505
Phone number: 509-942-2516
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Mailing Address
AZADEH MIRBOD MD
550 GAGE BLVD STE 101
RICHLAND, WA 99352-9532
Phone number: 509-942-3627
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