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1033512439
MICHELLE REBECCA FOULADIAN
TARZANA, CA
NPI
1033512439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 51947)
Enumeration Date
2014-09-30
Last Update Date
2016-08-30
Business Address
-- MICHELLE REBECCA FOULADIAN PA-C
18411 CLARK ST SUITE 302
TARZANA, CA 91356-3506
Phone number: 818-501-7276
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Mailing Address
-- MICHELLE REBECCA FOULADIAN PA-C
18411 CLARK STREET SUITE 302
TARZANA, CA 91356
Phone number: 818-501-7276
Copy
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