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1306381538
YASAMAN KHADIVI
SAN JOSE, CA
NPI
1306381538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 86081191)
Enumeration Date
2016-12-25
Last Update Date
2022-01-03
Business Address
-- YASAMAN KHADIVI R.D.
7378 PEGASUS WAY
SAN JOSE, CA 95139-1241
Phone number: 408-693-0502
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Mailing Address
-- YASAMAN KHADIVI R.D.
7378 PEGASUS WAY
SAN JOSE, CA 95139-1241
Phone number:
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