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Individual

DR. MAZEN A. MAHJOUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9375 E MARKET ST, SUITE #3, WARREN, OH 44484-5515
(330) 392-0100
Mailing address
9375 E MARKET ST, SUITE #3, WARREN, OH 44484-5515
(330) 392-0100

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-07-2671M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2145851
OH
Enumeration date
06/05/2006
Last updated
07/09/2007
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