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1730254350
SAMIR KASSICIEH
ALBUQUERQUE, NM
NPI
1730254350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM A751)
Enumeration Date
2006-11-21
Last Update Date
2008-08-01
Business Address
Dr. SAMIR KASSICIEH DO
1010 BRIDGE BLVD SW STE A
ALBUQUERQUE, NM 87105-3765
Phone number: 505-877-0212
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Mailing Address
Dr. SAMIR KASSICIEH DO
PO BOX 12435
ALBUQUERQUE, NM 87195-0435
Phone number: 505-877-0212
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