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1710365689
AZADEH BRUMAND
SOUTH LAKE TAHOE, CA
NPI
1710365689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
(Licence: CA 20A18771)
Enumeration Date
2015-05-12
Last Update Date
2022-05-18
Business Address
AZADEH BRUMAND D.O.
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150-7026
Phone number: 530-543-5985
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Mailing Address
AZADEH BRUMAND D.O.
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150-7026
Phone number: 530-543-5691
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