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1073728051
TARA MOSTOFI
PLACERVILLE, CA
NPI
1073728051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA PA17957)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- TARA MOSTOFI PAC
4327 GOLDEN CENTER DR
PLACERVILLE, CA 95667-6260
Phone number: 530-621-7700
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Mailing Address
-- TARA MOSTOFI PAC
4327 GOLDEN CENTER DR
PLACERVILLE, CA 95667-6260
Phone number: 530-621-7700
Copy
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