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1144975269
SAM MEHRDAD RASANANI
GLENDALE, AZ
NPI
1144975269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: AZ OTH-008668)
Enumeration Date
2022-02-16
Last Update Date
2022-02-16
Business Address
SAM MEHRDAD RASANANI OTD
6635 W HAPPY VALLEY RD STE A104-218
GLENDALE, AZ 85310-2609
Phone number: 623-224-1214
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Mailing Address
SAM MEHRDAD RASANANI OTD
4724 E GATEWOOD RD
PHOENIX, AZ 85050-6154
Phone number: 267-285-6534
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