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1770907693
MAHBOUBEH PISHGOU
AUGUSTA, GA
NPI
1770907693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-02-12
Last Update Date
2017-01-06
Business Address
-- MAHBOUBEH PISHGOU
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2971
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Mailing Address
-- MAHBOUBEH PISHGOU
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2971
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