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Individual

AVA BAZRAFSHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13803 FOOTHILL BLVD, SYLMAR, CA 91342-3013
(818) 362-2816
Mailing address
1109 SAN RAFAEL AVE APT 15, GLENDALE, CA 91202-3406

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
86805
CA

Other

Enumeration date
09/19/2022
Last updated
09/19/2022
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