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1265711766
TATYANA LEBENKOVA
PANORAMA CITY, CA
NPI
1265711766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 506675)
Enumeration Date
2011-08-15
Last Update Date
2011-08-15
Business Address
-- TATYANA LEBENKOVA
14860 ROSCOE BLVD STE 306
PANORAMA CITY, CA 91402-7903
Phone number: 818-904-2983
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Mailing Address
-- TATYANA LEBENKOVA
23606 VALLEY VIEW RD
CALABASAS, CA 91302-2039
Phone number: 323-899-2983
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