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Individual

MR. RAOUF HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.SC., PH.D., M.B.A.

Contact information

Practice address
2712 COTTAGE LOOP, PARK CITY, UT 84098-8261
(435) 655-7938
Mailing address
2712 COTTAGE LOOP, PARK CITY, UT 84098-8261
(435) 655-7938

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
17633
NV
183500000X
Pharmacist
6318
ID
183500000X
Pharmacist
Primary
7022112-1701
UT
183500000X
Pharmacist
9436
CT

Other

Enumeration date
12/10/2011
Last updated
12/10/2011
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