Individual
ASAD ZAFIR SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
628 W LIBERTY ST, SPRINGFIELD, OH 45506-2026
(567) 804-3293
Mailing address
628 W LIBERTY ST, SPRINGFIELD, OH 45506-2026
(567) 804-3293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
OH
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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