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1326630559
JOHANNA FARUQ
LOS ANGELES, CA
NPI
1326630559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
Enumeration Date
2021-02-09
Last Update Date
2022-05-03
Business Address
JOHANNA FARUQ
10351 SANTA MONICA BLVD UNIT 100 STUDIO 19
LOS ANGELES, CA 90025-4036
Phone number: 951-867-1198
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Mailing Address
JOHANNA FARUQ
1809 BAYWOOD DR APT 202
CORONA, CA 92881-3350
Phone number: 951-867-1198
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