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Individual
KASRA MANOUCHEHRIAN
Active
Individual
KASRA MANOUCHEHRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
78180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78180
PHARMACIST
CA
Enumeration date
06/29/2018
Last updated
05/18/2019
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