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1891033825
ROUSHANAK FADAVI
MISSION VIEJO, CA
NPI
1891033825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: CA 14103T)
Enumeration Date
2013-01-25
Last Update Date
2013-01-25
Business Address
Dr. ROUSHANAK FADAVI O.D.
4 ARCATA
MISSION VIEJO, CA 92692-5138
Phone number: 201-725-9285
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Mailing Address
Dr. ROUSHANAK FADAVI O.D.
30212 TOMAS STE 170
RANCHO SANTA MARGARITA, CA 92688-2174
Phone number: 949-589-0767
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