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Individual

DARYOUSH MOGHANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RCLD

Contact information

Practice address
1820 W VERDUGO AVE # 9692, BURBANK, CA 91506-2150
(747) 261-7447
(512) 522-8836
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
(512) 522-8836

Taxonomy

Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
1927
CA

Other

Enumeration date
02/04/2020
Last updated
02/04/2020
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