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1124656822
IVAN FEDORIV
TEMECULA, CA
NPI
1124656822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-29
Last Update Date
2022-05-26
Business Address
Dr. IVAN FEDORIV MD
31700 TEMECULA PKWY
TEMECULA, CA 92592-5896
Phone number: 951-600-4337
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Mailing Address
Dr. IVAN FEDORIV MD
31700 TEMECULA PKWY STE 2
TEMECULA, CA 92592-5896
Phone number:
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