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1619497005
SHIVA KHALILI
LUBBOCK, TX
NPI
1619497005
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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: TX BP10059614)
Enumeration Date
2017-06-27
Last Update Date
2017-06-27
Business Address
Dr. SHIVA KHALILI MD
3601 4TH ST. MS 6211
LUBBOCK, TX 79414-7941
Phone number: 806-743-3039
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Mailing Address
Dr. SHIVA KHALILI MD
5301 CHICAGO AVE APT 3302
LUBBOCK, TX 79414-6006
Phone number: 818-416-2614
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