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1548090541
SHARIF MOSALLAEI
VANCOUVER, WA
NPI
1548090541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA MDRE.ML.61591044)
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
SHARIF MOSALLAEI MD
2211 NE 139TH ST
VANCOUVER, WA 98686-2742
Phone number: 360-487-1168
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Mailing Address
SHARIF MOSALLAEI MD
2211 NE 139TH ST
VANCOUVER, WA 98686-2742
Phone number: 360-487-1168
Copy
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