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1023512456
VIRA FOMENKO
SAN JOSE, CA
NPI
1023512456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-20
Last Update Date
2021-12-20
Business Address
VIRA FOMENKO MD
250 HOSPITAL PKWY
SAN JOSE, CA 95119-1103
Phone number: 408-972-3000
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Mailing Address
VIRA FOMENKO MD
250 HOSPITAL PKWY
SAN JOSE, CA 95119-1103
Phone number:
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