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1134780851
ERIC LYAKHOVETSKY
BLOOMINGTON, IN
NPI
1134780851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 28216197A)
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
ERIC LYAKHOVETSKY PMHNP-BC
327 W SAIDAH RD
BLOOMINGTON, IN 47404-8965
Phone number: 317-509-0451
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Mailing Address
ERIC LYAKHOVETSKY PMHNP-BC
327 W SAIDAH RD
BLOOMINGTON, IN 47404-8965
Phone number: 317-509-0451
Copy
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