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1003398611
MICHELLE SORAYA POURTABIB
TRUCKEE, CA
NPI
1003398611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A177647)
Enumeration Date
2018-08-30
Last Update Date
2024-09-23
Business Address
Dr. MICHELLE SORAYA POURTABIB MD
12030 DONNER PASS RD STE 1-720
TRUCKEE, CA 96161-0449
Phone number: 916-258-5827
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Mailing Address
Dr. MICHELLE SORAYA POURTABIB MD
12030 DONNER PASS RD STE 1-720
TRUCKEE, CA 96161-0449
Phone number: 916-258-5827
Copy
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