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1083063580
HATAV KHADEMI
CHULA VISTA, CA
NPI
1083063580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 852519)
Enumeration Date
2016-06-07
Last Update Date
2016-06-28
Business Address
-- HATAV KHADEMI RN
1161 BAY BLVD SUIT B
CHULA VISTA, CA 91911-2670
Phone number: 619-585-7686
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Mailing Address
-- HATAV KHADEMI RN
1161 BAY BLVD STE B
CHULA VISTA, CA 91911-2670
Phone number: 619-585-7686
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