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1427421569
BAHARAK FOROUZAN
POWAY, CA
NPI
1427421569
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Former Name
BAHARAK FOROUZAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA52147)
Enumeration Date
2015-11-12
Last Update Date
2016-02-05
Business Address
-- BAHARAK FOROUZAN PA
15611 POMERADO RD STE 525
POWAY, CA 92064-2439
Phone number: 858-485-5301
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Mailing Address
-- BAHARAK FOROUZAN PA
17730 VALLE VERDE RD
POWAY, CA 92064-1002
Phone number: 858-373-7126
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