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1073645131
HAZAM MANSOUR ADEMHIZAM
BUENA PARK, CA
NPI
1073645131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 19085)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
Mr. HAZAM MANSOUR ADEMHIZAM Physician Assistant
6744 KNOTT AVE APT 4
BUENA PARK, CA 90621-2736
Phone number: 714-228-0715
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Mailing Address
Mr. HAZAM MANSOUR ADEMHIZAM Physician Assistant
6744 KNOTT AVE APT 4
BUENA PARK, CA 90621-2736
Phone number: 714-228-0715
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