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1336377498
OLGA DEKHTIAREVA
ROCKVILLE, MD
NPI
1336377498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R180041)
Enumeration Date
2009-06-29
Last Update Date
2014-06-25
Business Address
-- OLGA DEKHTIAREVA CRNP ADULT
15825 SHADY GROVE RD 140
ROCKVILLE, MD 20850-4008
Phone number: 301-869-9776
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Mailing Address
-- OLGA DEKHTIAREVA CRNP ADULT
15825 SHADY GROVE RD 140
ROCKVILLE, MD 20850-4015
Phone number: 301-869-9776
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