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1104656644
FOROUZESH BAYAT
TARZANA, CA
NPI
1104656644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
FOROUZESH BAYAT RADT
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
FOROUZESH BAYAT RADT
PO BOX 57944
SHERMAN OAKS, CA 91413-2944
Phone number: 818-285-9999
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