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1316459050
FARDAD ADLTABATABAIE
IRVINE, CA
NPI
1316459050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2017-11-03
Last Update Date
2017-11-03
Business Address
FARDAD ADLTABATABAIE
15 ACACIA TREE LN
IRVINE, CA 92612-2201
Phone number: 650-746-4445
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Mailing Address
FARDAD ADLTABATABAIE
15 ACACIA TREE LN
IRVINE, CA 92612-2201
Phone number: 650-746-4445
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