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Individual
IRA J GOLCHEHREH
Active
Individual
IRA J GOLCHEHREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC OMD QME
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC003592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC003592
ACUPUNCTURE BOARD OF CA
CA
Enumeration date
03/13/2007
Last updated
07/08/2007
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