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1609485267
AZADEH TAVAKOLIAN
RICHARDSON, TX
NPI
1609485267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1000014)
Enumeration Date
2020-07-29
Last Update Date
2020-12-03
Business Address
AZADEH TAVAKOLIAN
2821 GEORGE BUSH HWY STE 500
RICHARDSON, TX 75082-4278
Phone number: 469-206-6957
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Mailing Address
AZADEH TAVAKOLIAN
2821 GEORGE BUSH HWY STE 500
RICHARDSON, TX 75082-4278
Phone number: 469-206-6957
Copy
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