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1205365780
SHADI KHOSRAVI
VANCOUVER, WA
NPI
1205365780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH60661060)
Enumeration Date
2017-06-07
Last Update Date
2017-06-07
Business Address
SHADI KHOSRAVI
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664-3200
Phone number: 360-514-2016
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Mailing Address
SHADI KHOSRAVI
14400 NE 24TH AVE
VANCOUVER, WA 98686-1615
Phone number:
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