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Individual

ALI GHORBANIFARAJZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E5332
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E5332
CA

Other

Enumeration date
09/21/2014
Last updated
08/06/2019
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