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1689135998
GHAZAL S VAFABAKHSH
JACKSONVILLE, FL
NPI
1689135998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9112314)
Enumeration Date
2019-03-28
Last Update Date
2020-10-01
Business Address
GHAZAL S VAFABAKHSH
1301 PALM AVE
JACKSONVILLE, FL 32207-8432
Phone number: 904-202-7300
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Mailing Address
GHAZAL S VAFABAKHSH
PO BOX 45278
JACKSONVILLE, FL 32232-5278
Phone number: 904-202-2092
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