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Individual

YASSER ALAAELDIN MANSOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10001 COUNTY FARM RD, RIVERSIDE, CA 92503-3507
(951) 358-4290
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(951) 683-6596

Taxonomy

Speciality
Code
Description
License number
State
246YR1600X
Registered Record Administrator
Primary
CA

Other

Enumeration date
06/08/2022
Last updated
06/08/2022
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