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Individual

MOHAMED BOURAHI ALSOUBAII

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2021 N PAN AMERICAN AVE, DOUGLAS, AZ 85607-1137
(602) 303-0819
Mailing address
3302 EAGLE RIDGE DR, SIERRA VISTA, AZ 85650-6636
(602) 303-0819

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
9113555
AZ

Other

Enumeration date
06/28/2019
Last updated
06/28/2019
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