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1902237910
WISSAM AJI
FORT SAM HOUSTON, TX
NPI
1902237910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: NJ 25ma09299400)
Enumeration Date
2013-12-02
Last Update Date
2020-08-20
Business Address
WISSAM AJI
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 856-220-5421
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Mailing Address
WISSAM AJI
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 856-220-5421
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