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1669044871
ANTOINE BOUSTANY
CLEVELAND, OH
NPI
1669044871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH 57.251393)
Enumeration Date
2021-07-15
Last Update Date
2022-08-27
Business Address
Dr. ANTOINE BOUSTANY MD
18101 LORAIN AVE
CLEVELAND, OH 44111-5612
Phone number: 216-385-6863
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Mailing Address
Dr. ANTOINE BOUSTANY MD
18101 LORAIN AVE
CLEVELAND, OH 44111-5612
Phone number: 216-237-5888
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