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1265591853
BORIS VIADAMIR LUBAVIN
NORTHRIDGE, CA
NPI
1265591853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A81982)
Enumeration Date
2006-12-08
Last Update Date
2021-11-30
Business Address
BORIS VIADAMIR LUBAVIN MD
8510 BALBOA BLVD STE 150
NORTHRIDGE, CA 91325-3583
Phone number: 888-988-2800
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Mailing Address
BORIS VIADAMIR LUBAVIN MD
441 N LAKEVIEW AVE
ANAHEIM, CA 92807-3028
Phone number: 888-988-2800
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