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1538456090
FALLON NASSIEM AGAHI LOPEZ
SACRAMENTO, CA
NPI
1538456090
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Other Name
FALLON NASSIEM AGAHI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2011-07-06
Last Update Date
2019-11-04
Business Address
Ms. FALLON NASSIEM AGAHI LOPEZ
3301 C ST BLDG 550
SACRAMENTO, CA 95816-3300
Phone number: 916-556-3164
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Mailing Address
Ms. FALLON NASSIEM AGAHI LOPEZ
3105 CEDAR RAVINE RD STE 201
PLACERVILLE, CA 95667-6561
Phone number: 530-626-1602
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