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1851887293
SHAHABEDDIN SASSANPOUR
NEW YORK, NY
NPI
1851887293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-07-09
Last Update Date
2018-07-09
Business Address
SHAHABEDDIN SASSANPOUR
15 W 136TH ST
NEW YORK, NY 10037-2104
Phone number: 212-939-2883
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Mailing Address
SHAHABEDDIN SASSANPOUR
390 1ST AVE APT 5E
NEW YORK, NY 10010-4940
Phone number:
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