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1669937835
FATIMA ANMOL IQBAL KHAN
MEMPHIS, TN
NPI
1669937835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 3623)
Enumeration Date
2019-02-01
Last Update Date
2019-02-01
Business Address
FATIMA ANMOL IQBAL KHAN PA
880 MADISON AVE
MEMPHIS, TN 38103-3409
Phone number: 901-448-2657
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Mailing Address
FATIMA ANMOL IQBAL KHAN PA
877 JEFFERSON AVENUE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103
Phone number: 901-448-2657
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