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1386663508
EHSAN GHODS
FAIRFIELD, CA
NPI
1386663508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A10162)
Enumeration Date
2006-07-19
Last Update Date
2015-11-09
Business Address
-- EHSAN GHODS D.O.
4520 BUSINESS CENTER DRIVE SUITE 200
FAIRFIELD, CA 94534
Phone number: 707-646-3500
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Mailing Address
-- EHSAN GHODS D.O.
4520 BUSINESS CENTER DRIVE SUITE 200
FAIRFIELD, CA 94534
Phone number: 707-646-3500
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