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1114280153
ALEXEI V LISSOUNOV
SPOKANE, WA
NPI
1114280153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
Dr. ALEXEI V LISSOUNOV M.D.
104 W 5TH AVE STE 200W
SPOKANE, WA 99204-4803
Phone number: 509-744-3750
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Mailing Address
Dr. ALEXEI V LISSOUNOV M.D.
104 W 5TH AVE STE 200W
SPOKANE, WA 99204-4803
Phone number: 509-744-3750
Copy
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