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1902057474
TASHIA N ISLAM
TUSCALOOSA, AL
NPI
1902057474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AL PA 605)
Enumeration Date
2008-10-02
Last Update Date
2008-10-02
Business Address
Mrs. TASHIA N ISLAM PA
1060 FAIRFAX PARK SUITE B
TUSCALOOSA, AL 35406-2836
Phone number: 205-758-6471
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Mailing Address
Mrs. TASHIA N ISLAM PA
1060 FAIRFAX PARK SUITE B
TUSCALOOSA, AL 35406-2836
Phone number: 205-758-6471
Copy
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