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1750570842
IBRAHIM AFSAHREZVANI
PORTLAND, OR
NPI
1750570842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2007-10-15
Last Update Date
2007-10-15
Business Address
-- IBRAHIM AFSAHREZVANI
1312 SW 10TH AVE APT 305
PORTLAND, OR 97201-3444
Phone number: 503-238-0769
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Mailing Address
-- IBRAHIM AFSAHREZVANI
1312 SW 10TH AVE APT 305
PORTLAND, OR 97201-3444
Phone number:
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