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1023592805
IVAN KOZHULENKO
OKLAHOMA CITY, OK
NPI
1023592805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK 127368)
Enumeration Date
2018-09-18
Last Update Date
2020-12-17
Business Address
IVAN KOZHULENKO CRNA
920 STANTON L YOUNG BLVD STE WP1140
OKLAHOMA CITY, OK 73104-5036
Phone number: 405-271-4351
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Mailing Address
IVAN KOZHULENKO CRNA
PO BOX 26901
OKLAHOMA CITY, OK 73126-0901
Phone number: 405-271-4351
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