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1538647979
FARIA ISLAM
LOS ANGELES, CA
NPI
1538647979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 34019TLG)
Enumeration Date
2018-07-28
Last Update Date
2018-07-28
Business Address
FARIA ISLAM OD
4560 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90022-1117
Phone number: 323-980-9900
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Mailing Address
FARIA ISLAM OD
6249 FILLY CT
RANCHO CUCAMONGA, CA 91739-9590
Phone number: 909-762-8216
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