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1205687522
KSENIA VLASSOVA
DALLAS, TX
NPI
1205687522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
Dr. KSENIA VLASSOVA MD
3500 GASTON AVE
DALLAS, TX 75246-2088
Phone number: 512-850-8141
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Mailing Address
Dr. KSENIA VLASSOVA MD
3220 MAPLE AVE APT 427
DALLAS, TX 75201-1284
Phone number: 512-850-8141
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