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1801491386
OMEED AZZAT BASIRI
WINCHESTER, VA
NPI
1801491386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305212638)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
OMEED AZZAT BASIRI
640 PEMBERTON DR APT 5
WINCHESTER, VA 22601-6334
Phone number: 317-893-6108
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Mailing Address
OMEED AZZAT BASIRI
640 PEMBERTON DR APT 5
WINCHESTER, VA 22601-6334
Phone number: 317-893-6108
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