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1083435028
IGOR GRIBANOVSKIY
PORTLAND, OR
NPI
1083435028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2024-10-22
Last Update Date
2024-10-22
Business Address
IGOR GRIBANOVSKIY
825 NE 20TH AVE STE 320
PORTLAND, OR 97232-2275
Phone number: 971-429-6321
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Mailing Address
IGOR GRIBANOVSKIY
825 NE 20TH AVE STE 320
PORTLAND, OR 97232-2275
Phone number: 971-429-6321
Copy
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