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1144623653
TAL VITALY SRABOYANTS
YUBA CITY, CA
NPI
1144623653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95000745)
Enumeration Date
2014-09-29
Last Update Date
2015-07-10
Business Address
-- TAL VITALY SRABOYANTS N.P.
440 PLUMAS BLVD
YUBA CITY, CA 95991-5071
Phone number: 530-749-3346
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Mailing Address
-- TAL VITALY SRABOYANTS N.P.
10470 OLD PLACERVILLE RD SUITE 100
SACRAMENTO, CA 95827-2539
Phone number: 855-771-0335
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