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1962516351
ALI HEIDARI
UPLAND, CA
NPI
1962516351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA 20A6946)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- ALI HEIDARI D.O.
843 E FOOTHILL BLVD
UPLAND, CA 91786-4034
Phone number: 909-982-1002
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Mailing Address
-- ALI HEIDARI D.O.
1777 ATLANTA AVE G6
RIVERSIDE, CA 92507-7417
Phone number: 951-682-8999
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