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1649775289
NASIM KHOSRAVI FOROUTAN
SACRAMENTO, CA
NPI
1649775289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-27
Last Update Date
2018-03-27
Business Address
Dr. NASIM KHOSRAVI FOROUTAN MD
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2011
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Mailing Address
Dr. NASIM KHOSRAVI FOROUTAN MD
2725 PAVILION PKWY APT 2314
TRACY, CA 95304-9495
Phone number: 832-417-8025
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