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1003076456
VITALY KISHINYOVSKY
ROANOKE, VA
NPI
1003076456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 116020178)
Enumeration Date
2008-06-10
Last Update Date
2008-06-10
Business Address
-- VITALY KISHINYOVSKY MD
2145 MOUNT PLEASANT BLVD SE
ROANOKE, VA 24014-3632
Phone number: 540-427-9200
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Mailing Address
-- VITALY KISHINYOVSKY MD
2145 MOUNT PLEASANT BLVD SE
ROANOKE, VA 24014-3632
Phone number:
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