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1104224963
KHASHI KHOSRAVI
CULVER CITY, CA
NPI
1104224963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-12-10
Last Update Date
2014-12-10
Business Address
-- KHASHI KHOSRAVI
9808 VENICE BLVD 505
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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Mailing Address
-- KHASHI KHOSRAVI
9808 VENICE BLVD 505
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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