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1780652818
MARK-MUSHTAQ JAVED AHMED
MCCLELLAN, CA
NPI
1780652818
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Former Name
MUSHTAQ JAVED AHMED
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 466078)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
Mr. MARK-MUSHTAQ JAVED AHMED NP
5342 DUDLEY BLVD
MCCLELLAN, CA 95652-1012
Phone number: 916-561-7473
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Mailing Address
Mr. MARK-MUSHTAQ JAVED AHMED NP
23 GOOSE HAVEN CT
SACRAMENTO, CA 95834-2506
Phone number: 916-575-9392
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