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1497031710
SHADY BORNA
LOS ANGELES, CA
NPI
1497031710
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Other Name
SHADY BORNA NASSI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 19929)
Enumeration Date
2011-11-01
Last Update Date
2011-11-01
Business Address
-- SHADY BORNA
348 S. HAUSER BLVD APT 102
LOS ANGELES, CA 90036-3293
Phone number: 818-640-9716
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Mailing Address
-- SHADY BORNA
348 S. HAUSER BLVD APT 102
LOS ANGELES, CA 90036-3293
Phone number: 818-640-9716
Copy
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