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1831779008
SHAE MORTAZAVI
HARRISON, AR
NPI
1831779008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AR 0000)
Enumeration Date
2021-04-12
Last Update Date
2021-04-12
Business Address
SHAE MORTAZAVI QBHP
114 E CRANDALL AVE STE B
HARRISON, AR 72601-3628
Phone number: 870-741-8484
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Mailing Address
SHAE MORTAZAVI QBHP
2885 W BATTLEFIELD ST
SPRINGFIELD, MO 65807-3952
Phone number:
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