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1912625328
POUPAK MOSHAYEDI
DALLAS, TX
NPI
1912625328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX F06221831)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
POUPAK MOSHAYEDI
5200 HARRY HINES BLVD
DALLAS, TX 75235-7709
Phone number: 469-419-6705
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Mailing Address
POUPAK MOSHAYEDI
8191 HOLLIDAY RD
LANTANA, TX 76226-6499
Phone number: 817-770-5189
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