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1922437391
KHALIL WARDAK
FORT LAUDERDALE, FL
NPI
1922437391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: FL MD103643)
Enumeration Date
2013-11-06
Last Update Date
2013-11-06
Business Address
-- KHALIL WARDAK
5301 SW 31ST AVE
FORT LAUDERDALE, FL 33312-6906
Phone number: 954-357-5214
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Mailing Address
-- KHALIL WARDAK
591 HONEYSUCKLE LN
WESTON, FL 33327-2418
Phone number: 954-357-5214
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