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1497314553
FARDAD KOMAILI
NEWPORT BEACH, CA
NPI
1497314553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 294258)
Enumeration Date
2019-06-11
Last Update Date
2019-06-11
Business Address
FARDAD KOMAILI DPT
466 FLAGSHIP RD
NEWPORT BEACH, CA 92663-3635
Phone number: 949-642-8044
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Mailing Address
FARDAD KOMAILI DPT
15531 BELSHIRE AVE APT 25
NORWALK, CA 90650-6724
Phone number:
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