YANA PETROVNA BOGOSLOV

DAYTONA BEACH, FL
NPI1356125421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9118074)
Enumeration Date2023-08-21
Last Update Date2024-01-24
Business Address
YANA PETROVNA BOGOSLOV
305 MEMORIAL MEDICAL PKWY STE 308
DAYTONA BEACH, FL 32117-5137
Phone number: 386-231-3600
Mailing Address
YANA PETROVNA BOGOSLOV
PO BOX 947381
ATLANTA, GA 30394-7381
Phone number: 386-231-4529
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