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1871258020
SHABNAM SHAHRIYARI
FULLERTON, CA
NPI
1871258020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 62095)
Enumeration Date
2021-11-02
Last Update Date
2024-01-26
Business Address
SHABNAM SHAHRIYARI
140 E COMMONWEALTH AVE STE 101
FULLERTON, CA 92832-1905
Phone number: 714-773-4111
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Mailing Address
SHABNAM SHAHRIYARI
23912 COPENHAGEN ST
MISSION VIEJO, CA 92691-3022
Phone number: 714-430-0107
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