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1104245471
VADYM MYKHAYLOV
LOS ANGELES, CA
NPI
1104245471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 23834)
Enumeration Date
2014-04-15
Last Update Date
2014-04-15
Business Address
-- VADYM MYKHAYLOV FNP
1100 N STATE ST CT-RM. A2B107
LOS ANGELES, CA 90033-5000
Phone number: 323-409-1000
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Mailing Address
-- VADYM MYKHAYLOV FNP
1100 N STATE ST CT-RM. A2B107
LOS ANGELES, CA 90033-5000
Phone number: 323-409-1000
Copy
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