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1306924113
LEONID PRAVOVEROV
STOCKTON, CA
NPI
1306924113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: CA A77583)
Enumeration Date
2006-11-01
Last Update Date
2021-12-08
Business Address
LEONID PRAVOVEROV MD
7373 WEST LN
STOCKTON, CA 95210-3377
Phone number: 209-476-2000
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Mailing Address
LEONID PRAVOVEROV MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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