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1295414027
CHRISTIAN POLOVICH
BENTONVILLE, AR
NPI
1295414027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2023-07-18
Last Update Date
2023-07-18
Business Address
CHRISTIAN POLOVICH CNIM
8411 W KINGBIRD CT
BENTONVILLE, AR 72713-2436
Phone number: 479-713-0078
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Mailing Address
CHRISTIAN POLOVICH CNIM
PO BOX 1205
CONWAY, AR 72033-1205
Phone number:
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