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Individual

AIMAN MAHFOUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.ABNM

Contact information

Practice address
76 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 871-6821
Mailing address
3169 PARK AVE, SOUTH PLAINFIELD, NJ 07080-5234
(631) 747-6537

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
115

Other

Enumeration date
08/04/2009
Last updated
08/04/2009
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