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1386711158
MAHMOOD FATHOLLAZADEH
COLTON, CA
NPI
1386711158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12070)
Enumeration Date
2006-11-29
Last Update Date
2023-07-18
Business Address
MAHMOOD FATHOLLAZADEH PA-C
1850 E WASHINGTON ST
COLTON, CA 92324-4621
Phone number: 909-887-2991
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Mailing Address
MAHMOOD FATHOLLAZADEH PA-C
1850 E WASHINGTON ST
COLTON, CA 92324-4621
Phone number: 909-887-2991
Copy
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