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1144954801
HOMIRA OMAR
LOS ANGELES, CA
NPI
1144954801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA64615)
Enumeration Date
2022-07-10
Last Update Date
2024-09-16
Business Address
HOMIRA OMAR PA
4137 VERDUGO RD
LOS ANGELES, CA 90065-3820
Phone number: 323-344-9255
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Mailing Address
HOMIRA OMAR PA
2215 ALCAZAR ST # 308
LOS ANGELES, CA 90033-1003
Phone number: 510-474-6142
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