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1205151958
IGOR NAZAROV
PUYALLUP, WA
NPI
1205151958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: ZZ UV075151)
Enumeration Date
2010-04-06
Last Update Date
2016-07-12
Business Address
IGOR NAZAROV MD
15214 CANYON RD E
PUYALLUP, WA 98375-7472
Phone number: 253-539-4200
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Mailing Address
IGOR NAZAROV MD
15205 NE 13TH PL 2908
BELLEVUE, WA 98007-7509
Phone number: 206-795-4497
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