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1043679673
BORIS GUTKOVSKY
SAN FRANCISCO, CA
NPI
1043679673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: CA CPT9570)
Enumeration Date
2016-02-10
Last Update Date
2016-02-10
Business Address
-- BORIS GUTKOVSKY CPT1
55 CHUMASERO DRIVE #2D
SAN FRANCISCO, CA 94132-2319
Phone number: 415-585-5822
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Mailing Address
-- BORIS GUTKOVSKY CPT1
55 CHUMASERO DR APT 2D
SAN FRANCISCO, CA 94132-2319
Phone number: 415-867-2235
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