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1376913806
BRIAN SHAGHAFI
ONTARIO, CA
NPI
1376913806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2015-09-26
Last Update Date
2022-02-11
Business Address
-- BRIAN SHAGHAFI PA
2800 E RIVERSIDE DR APT 366
ONTARIO, CA 91761-7405
Phone number: 510-303-6185
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Mailing Address
-- BRIAN SHAGHAFI PA
PO BOX 3956
ONTARIO, CA 91761-0988
Phone number:
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