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1912316365
JACOB FAHIMIPOUR
WOODLAND HILLS, CA
NPI
1912316365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: CA 197608576)
Enumeration Date
2014-08-11
Last Update Date
2014-08-11
Business Address
-- JACOB FAHIMIPOUR
23635 COLLINS ST
WOODLAND HILLS, CA 91367-5916
Phone number: 818-433-9111
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Mailing Address
-- JACOB FAHIMIPOUR
23635 COLLINS ST
WOODLAND HILLS, CA 91367-5916
Phone number: 818-433-9111
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