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1922300797
GHAITH ADEEB BASHOUR
HIALEAH, FL
NPI
1922300797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: FL DO 2639)
Enumeration Date
2010-11-29
Last Update Date
2010-11-29
Business Address
MR. GHAITH ADEEB BASHOUR LDO
2800 W 84TH ST UNIT 8
HIALEAH, FL 33018-4922
Phone number: 305-362-3937
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Mailing Address
MR. GHAITH ADEEB BASHOUR LDO
2800 W 84TH ST UNIT 8
HIALEAH, FL 33018-4922
Phone number: 305-362-3937
Copy
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