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1174996797
PEGAH TIZABGAR
LOS ANGELES, CA
NPI
1174996797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-11-04
Last Update Date
2015-11-04
Business Address
-- PEGAH TIZABGAR
12420 RIDGE RD
LOS ANGELES, CA 90049-6805
Phone number: 310-729-6219
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Mailing Address
-- PEGAH TIZABGAR
12420 RIDGE RD
LOS ANGELES, CA 90049-6805
Phone number: 310-729-6219
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