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1760123046
FARES HOSSEINZADEH
MARIETTA, GA
NPI
1760123046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-02
Last Update Date
2022-04-02
Business Address
FARES HOSSEINZADEH
2380 CASTLE LN NE
MARIETTA, GA 30062-5205
Phone number: 770-820-6412
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Mailing Address
FARES HOSSEINZADEH
2380 CASTLE LN NE
MARIETTA, GA 30062-5205
Phone number: 770-820-6412
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