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1801930441
ALIREZA MIRMIRAN
OMAHA, NE
NPI
1801930441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: NE 25152)
Enumeration Date
2007-02-16
Last Update Date
2013-12-17
Business Address
-- ALIREZA MIRMIRAN MD
8303 DODGE ST SUITE # LL6
OMAHA, NE 68114-4108
Phone number: 402-354-4104
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Mailing Address
-- ALIREZA MIRMIRAN MD
PO BOX 10190
VIRGINIA BEACH, VA 23450-0190
Phone number: 800-477-5240
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