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1588149199
FARHAT MAWLAVIZADA
SAN JOSE, CA
NPI
1588149199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-09-28
Last Update Date
2018-10-04
Business Address
FARHAT MAWLAVIZADA PA-C
225 N JACKSON AVE
SAN JOSE, CA 95116-1603
Phone number: 408-729-2819
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Mailing Address
FARHAT MAWLAVIZADA PA-C
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1844
Phone number: 510-350-2832
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