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1093005233
ELAINE WEST HAJISAFARI
MIAMI, FL
NPI
1093005233
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Former Name
LOURDES ELAINE WEST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA 9105870)
Enumeration Date
2011-04-08
Last Update Date
2014-03-21
Business Address
-- ELAINE WEST HAJISAFARI
1475 NW 12TH AVE
MIAMI, FL 33136-1002
Phone number: 305-243-8644
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Mailing Address
-- ELAINE WEST HAJISAFARI
1611 NW 12TH AVE PO BOX 016960 (M851)
MIAMI, FL 33136-1005
Phone number: 305-243-7688
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