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1922003714
HAITHAM BOULOS HADDAD
GRANTS PASS, OR
NPI
1922003714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD18812)
Enumeration Date
2005-06-17
Last Update Date
2007-07-08
Business Address
DR. HAITHAM BOULOS HADDAD M.D.
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Phone number: 541-476-6644
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Mailing Address
DR. HAITHAM BOULOS HADDAD M.D.
495 SW RAMSEY AVE
GRANTS PASS, OR 97527
Phone number: 541-476-6644
Copy
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