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1114639986
LARISA POGORELOVA
SOUTHFIELD, MI
NPI
1114639986
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Former Name
LARISA MYAKHKOV
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse Critical Care Medicine
(Licence: MI 4704320981)
Enumeration Date
2022-12-23
Last Update Date
2022-12-23
Business Address
LARISA POGORELOVA
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-3150
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Mailing Address
LARISA POGORELOVA
24828 TODDY LN
FARMINGTON HILLS, MI 48335-2075
Phone number:
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