IVAN A LIAPIN

GAUTIER, MS
NPI1265051890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MS  29531)
Enumeration Date2020-04-14
Last Update Date2023-06-15
Business Address
IVAN A LIAPIN
2101 HIGHWAY 90
GAUTIER, MS 39553-5340
Phone number: 757-395-0707
Mailing Address
IVAN A LIAPIN
2101 HIGHWAY 90
GAUTIER, MS 39553-5340
Phone number:
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