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1568090272
BOBAK HEDAYATI
RIVERSIDE, CA
NPI
1568090272
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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: 390200000X)
Enumeration Date
2020-03-29
Last Update Date
2020-03-29
Business Address
BOBAK HEDAYATI MD
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-205-3340
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Mailing Address
BOBAK HEDAYATI MD
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number:
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