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1669224218
RASIM OMAR SHAH
FAYETTEVILLE, AR
NPI
1669224218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-04
Last Update Date
2024-04-04
Business Address
RASIM OMAR SHAH MD
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703-1908
Phone number: 479-713-8310
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Mailing Address
RASIM OMAR SHAH MD
4306 GARLAND AVE
PINE BLUFF, AR 71603-4638
Phone number: 501-416-6148
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