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1881053577
FAZALDIN MOGHUL
TACOMA, WA
NPI
1881053577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WA OP61169516)
Enumeration Date
2016-02-23
Last Update Date
2021-09-16
Business Address
FAZALDIN MOGHUL DO
1708 YAKIMA AVE STE 112
TACOMA, WA 98405-5300
Phone number: 253-382-8450
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Mailing Address
FAZALDIN MOGHUL DO
1708 YAKIMA AVE STE 112
TACOMA, WA 98405-5300
Phone number: 253-382-8450
Copy
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