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1609301506
TINA KHOSRAVI
ORANGE, CA
NPI
1609301506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2017-04-27
Last Update Date
2017-11-27
Business Address
TINA KHOSRAVI
705 W LA VETA AVE STE 109
ORANGE, CA 92868-4447
Phone number: 714-628-9342
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Mailing Address
TINA KHOSRAVI
705 W LA VETA AVE STE 109
ORANGE, CA 92868-4447
Phone number: 714-628-9342
Copy
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