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1013596626
SHAHIN MORTAZAVI
LOS ANGELES, CA
NPI
1013596626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-02
Last Update Date
2021-04-02
Business Address
SHAHIN MORTAZAVI
8700 BEVERLY BLVD
LOS ANGELES, CA 90048
Phone number: 310-423-7293
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Mailing Address
SHAHIN MORTAZAVI
1822 100TH AVE NE
BELLEVUE, WA 98004-2610
Phone number:
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