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1558819250
MITRA RASTEGAR
LOS ANGELES, CA
NPI
1558819250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1835P2201X Pharmacist, Ambulatory Care
(Licence: CA RPH 53999)
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
-- MITRA RASTEGAR Pharm D
444 S SAN VICENTE BLVD STE 104
LOS ANGELES, CA 90048-4166
Phone number: 310-423-9550
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Mailing Address
-- MITRA RASTEGAR Pharm D
444 S SAN VICENTE BLVD STE 104
LOS ANGELES, CA 90048-4166
Phone number: 310-423-9550
Copy
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