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1720438625
MARYAM FATHI JAVANBAKHT
LOS ANGELES, CA
NPI
1720438625
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Former Name
MARYAM FATHI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT32607)
Enumeration Date
2016-06-21
Last Update Date
2019-05-28
Business Address
Mrs. MARYAM FATHI JAVANBAKHT DPT
544 S SAN VICENTE BLVD
LOS ANGELES, CA 90048
Phone number: 310-355-8825
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Mailing Address
Mrs. MARYAM FATHI JAVANBAKHT DPT
12542 CHARLOMA DR
TUSTIN, CA 92780-2807
Phone number: 310-355-8825
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