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Organization
HARRISON M IRIAFEN
Active
Organization
HARRISON M IRIAFEN
Active
Other names
GOOD SHEPARD MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
HARRISON M IRIAFEN (OWNER)
(818) 785-3584
Entity
Organization
Contact information
Practice address
14640 VICTORY BLVD, SUITE 205, VAN NUYS, CA 91411-1623
(818) 785-3584
(818) 785-7910
Mailing address
14640 VICTORY BLVD, SUITE 205, VAN NUYS, CA 91411-1623
(818) 785-3584
(818) 785-7910
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
11/13/2007
Last updated
06/17/2008
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