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Individual
SIMIN NASR
Active
Individual
SIMIN NASR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
73130-20
WI
207Q00000X
Family Medicine Physician
Primary
MD477542
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD477542
PA
Other
Enumeration date
04/03/2018
Last updated
06/06/2022
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