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1265564207
TATYANA PROKHORENKO
VAN NUYS, CA
NPI
1265564207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
-- TATYANA PROKHORENKO
14530 HAMLIN ST
VAN NUYS, CA 91411-1607
Phone number: 818-373-4993
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Mailing Address
-- TATYANA PROKHORENKO
17320 BURBANK BLVD #15
ENCINO, CA 91316-1745
Phone number: 818-461-9357
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