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1275641425
OSTAP WOLOSCHUK
RUSSELLVILLE, AL
NPI
1275641425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
173000000X Legal Medicine
(Licence: AL 11365)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
OSTAP WOLOSCHUK MD
604 GANDY ST NE
RUSSELLVILLE, AL 35653-1912
Phone number: 256-332-7233
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Mailing Address
OSTAP WOLOSCHUK MD
PO BOX 1211
RUSSELLVILLE, AL 35653-1211
Phone number: 256-332-7233
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