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1184327603
SOROUSH ERSHADIFAR
SACRAMENTO, CA
NPI
1184327603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
SOROUSH ERSHADIFAR
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 925-800-9541
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Mailing Address
SOROUSH ERSHADIFAR
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number:
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