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1114121035
OMID FARVILI
GLENDALE, CA
NPI
1114121035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT25997)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
-- OMID FARVILI P.T.
130 LOUISE ST
GLENDALE, CA 91206
Phone number: 818-343-2073
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Mailing Address
-- OMID FARVILI P.T.
6718 ANDASOL AVE
VAN NUYS, CA 91406-5412
Phone number: 818-343-2073
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