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1063857159
AFSHIN AHMADIYAN
SALT LAKE CITY, UT
NPI
1063857159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: UT 8217266-2401)
Enumeration Date
2013-05-03
Last Update Date
2013-05-03
Business Address
-- AFSHIN AHMADIYAN DPT
2431 E CATALINA DR
SALT LAKE CITY, UT 84121-3939
Phone number: 801-808-8053
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Mailing Address
-- AFSHIN AHMADIYAN DPT
2431 EAST CATALINA DRIVE
SALT LAKE CITY, UT 84121
Phone number: 801-808-8053
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