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1568043156
DANIEL MOSALLAEI
LOS ANGELES, CA
NPI
1568043156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
DANIEL MOSALLAEI
1441 EASTLAKE AVE
LOS ANGELES, CA 90089-1019
Phone number: 949-296-5780
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Mailing Address
DANIEL MOSALLAEI
1441 EASTLAKE AVE
LOS ANGELES, CA 90089-1019
Phone number:
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