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1255944237
AMMAR MIRZA
LOS ANGELES, CA
NPI
1255944237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
AMMAR MIRZA
1985 ZONAL AVE
LOS ANGELES, CA 90089-5305
Phone number: 323-442-1369
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Mailing Address
AMMAR MIRZA
9589 FOUR WINDS DR APT 1428
ELK GROVE, CA 95758-7148
Phone number: 650-267-9193
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