STEFAN KHENSOURI

COLUMBUS, IN
NPI1699237743
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  7620)
Enumeration Date2019-04-05
Last Update Date2020-04-23
Business Address
STEFAN KHENSOURI PA-C
3375 PADDINGTON DR
COLUMBUS, IN 47203-4328
Phone number: 812-278-1825
Mailing Address
STEFAN KHENSOURI PA-C
3375 PADDINGTON DR
COLUMBUS, IN 47203-4328
Phone number: 812-278-1825
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