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1942069125
BOBAK MOAZZAMI
LAWRENCEVILLE, GA
NPI
1942069125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
BOBAK MOAZZAMI MD
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046-4303
Phone number: 678-333-4266
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Mailing Address
BOBAK MOAZZAMI MD
PO BOX 1190
LAWRENCEVILLE, GA 30046-1190
Phone number:
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