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1326603556
ALISA FAROKHIAN
MONTCLAIR, NJ
NPI
1326603556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
Dr. ALISA FAROKHIAN MD
34 VALLEY RD APT 609
MONTCLAIR, NJ 07042-2871
Phone number: 630-915-9053
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Mailing Address
Dr. ALISA FAROKHIAN MD
34 VALLEY RD APT 609
MONTCLAIR, NJ 07042-2871
Phone number: 630-915-9053
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