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1235745720
SHAHRAM FAZLALI
HENDERSON, NV
NPI
1235745720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: CA 002140367)
Enumeration Date
2020-09-20
Last Update Date
2020-09-20
Business Address
SHAHRAM FAZLALI
1575 COMFORT HILLS ST
HENDERSON, NV 89014-7617
Phone number: 310-467-6710
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Mailing Address
SHAHRAM FAZLALI
1575 COMFORT HILLS ST
HENDERSON, NV 89014-7617
Phone number: 310-467-6710
Copy
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