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1043992365
VASILY OKULOV
SAN DIEGO, CA
NPI
1043992365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 552041)
Enumeration Date
2023-08-04
Last Update Date
2023-08-04
Business Address
VASILY OKULOV RN
5055 RUFFIN RD
SAN DIEGO, CA 92123-1617
Phone number: 619-246-0371
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Mailing Address
VASILY OKULOV RN
13808 TEMPLE ST
POWAY, CA 92064-3450
Phone number: 925-451-0485
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