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1710699160
IDRISS O FASSASSI
LOS ANGELES, CA
NPI
1710699160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95278415)
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
Mr. IDRISS O FASSASSI RN, MPH
245 S FETTERLY AVE
LOS ANGELES, CA 90022-1605
Phone number: 323-362-1010
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Mailing Address
Mr. IDRISS O FASSASSI RN, MPH
245 S FETTERLY AVE
LOS ANGELES, CA 90022-1605
Phone number: 323-362-1010
Copy
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