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1609053487
AMENA MASOOD ALI
LAKE FOREST, CA
NPI
1609053487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA 19554)
Enumeration Date
2008-01-24
Last Update Date
2014-12-10
Business Address
Mrs. AMENA MASOOD ALI BS, PA-C
23672 BIRTCHER DR UNIT A
LAKE FOREST, CA 92630-1711
Phone number: 949-770-7301
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Mailing Address
Mrs. AMENA MASOOD ALI BS, PA-C
23672 BIRTCHER DR UNIT A
LAKE FOREST, CA 92630-1711
Phone number: 949-770-7301
Copy
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