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1114069259
SVETLANA ALEXANDER LISOVSKIY
CONCORD, CA
NPI
1114069259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA19053)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Mrs. SVETLANA ALEXANDER LISOVSKIY P.A.
2425 EAST ST STE 15
CONCORD, CA 94520-1926
Phone number: 925-682-9232
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Mailing Address
Mrs. SVETLANA ALEXANDER LISOVSKIY P.A.
2425 EAST ST STE 15
CONCORD, CA 94520-1926
Phone number: 925-682-9232
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