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1710466057
AHMAD S JALLAD
SYLVANIA, OH
NPI
1710466057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH 023083)
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
AHMAD S JALLAD
5651 ELLIOTT DR.
SYLVANIA, OH 43560-4356
Phone number: 718-300-0318
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Mailing Address
AHMAD S JALLAD
5651 ELLIOTT DR
SYLVANIA, OH 43560-2064
Phone number: 718-300-0318
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