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1306541628
IGOR GORODNIUK
PORTERVILLE, CA
NPI
1306541628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
IGOR GORODNIUK
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: 559-784-1110
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Mailing Address
IGOR GORODNIUK
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: 323-317-3195
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