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1346970456
VITALII IAKOVLIEV
BIRMINGHAM, AL
NPI
1346970456
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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
2022-06-13
Last Update Date
2022-06-13
Business Address
VITALII IAKOVLIEV
1201 11TH AVE S STE 410
BIRMINGHAM, AL 35205-3423
Phone number: 205-996-2671
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Mailing Address
VITALII IAKOVLIEV
930 20TH ST S STE 331
BIRMINGHAM, AL 35205-2610
Phone number:
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