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1164795209
SAM NOSRATI
MISSION VIEJO, CA
NPI
1164795209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA E4997)
Enumeration Date
2012-02-21
Last Update Date
2019-05-16
Business Address
SAM NOSRATI DPM
26800 CROWN VALLEY PKWY STE 420
MISSION VIEJO, CA 92691-8023
Phone number: 949-272-0007
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Mailing Address
SAM NOSRATI DPM
32565 B GOLDEN LANTERN STREET PMB 341
DANA POINT, CA 92629-3261
Phone number: 949-272-0007
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