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1104922038
BORIS KHAMISHON
SAN DIEGO, CA
NPI
1104922038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA A56165)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
-- BORIS KHAMISHON Neurology
6699 ALVARADO RD #2301
SAN DIEGO, CA 92120-5238
Phone number: 619-582-2595
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Mailing Address
-- BORIS KHAMISHON Neurology
1011 SAPPHIRE ST
SAN DIEGO, CA 92109-1848
Phone number: 619-582-2595
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