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Individual
GUL E RUKH FERDOUSI
Active
Individual
GUL E RUKH FERDOUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S1592
TX
390200000X
Student in an Organized Health Care Education/Training Program
4301110191
MI
Other
Enumeration date
06/27/2016
Last updated
11/08/2019
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