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1114361029
JULIA VYACHESLAVOVNA SOUVOROVA
CHULA VISTA, CA
NPI
1114361029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
213ES0131X Podiatrist, Foot Surgery
(Licence: CA 5305)
Enumeration Date
2013-04-22
Last Update Date
2016-10-19
Business Address
-- JULIA VYACHESLAVOVNA SOUVOROVA D.P.M.
345 F ST STE 100
CHULA VISTA, CA 91910-2632
Phone number: 619-427-3481
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Mailing Address
-- JULIA VYACHESLAVOVNA SOUVOROVA D.P.M.
345 F ST STE 100
CHULA VISTA, CA 91910-2632
Phone number: 619-427-3481
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