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1033471834
DMITRI NIKOLAENKO
AUSTIN, TX
NPI
1033471834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX S0958)
Enumeration Date
2012-06-08
Last Update Date
2022-12-19
Business Address
Dr. DMITRI NIKOLAENKO DO, MS
1004 W 32ND ST UNIT 400
AUSTIN, TX 78705-1915
Phone number: 512-454-5171
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Mailing Address
Dr. DMITRI NIKOLAENKO DO, MS
1004 W 32ND ST UNIT 400
AUSTIN, TX 78705-1915
Phone number: 512-454-5171
Copy
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