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1598110850
SEYED ABDOLLAH BANITABA
SAN JOSE, CA
NPI
1598110850
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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
2016-04-24
Last Update Date
2016-04-24
Business Address
-- SEYED ABDOLLAH BANITABA
435 E SAINT JOHN ST
SAN JOSE, CA 95112-3410
Phone number: 408-396-6452
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Mailing Address
-- SEYED ABDOLLAH BANITABA
435 E SAINT JOHN ST
SAN JOSE, CA 95112-3410
Phone number:
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