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1043988447
VITALY LAYVANT
SALEM, OR
NPI
1043988447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: OR 204341)
Enumeration Date
2021-08-31
Last Update Date
2021-09-15
Business Address
VITALY LAYVANT PA-C
2973 12TH ST SE
SALEM, OR 97302-3162
Phone number: 503-561-7100
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Mailing Address
VITALY LAYVANT PA-C
2973 12TH ST SE
SALEM, OR 97302-3162
Phone number:
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