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1003070319
LARISA SURENOVNA DZHAVAKOVA
PHILADELPHIA, PA
NPI
1003070319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-07-16
Last Update Date
2008-07-16
Business Address
Dr. LARISA SURENOVNA DZHAVAKOVA M.D.
1701 A GRANT AVE
PHILADELPHIA, PA 19115-3160
Phone number: 215-464-3838
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Mailing Address
Dr. LARISA SURENOVNA DZHAVAKOVA M.D.
1701 A GRANT AVE
PHILADELPHIA, PA 19115-3160
Phone number: 215-464-3838
Copy
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