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1376176594
GEORGIY O BONDARCHUK
VIRGINIA BEACH, VA
NPI
1376176594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-02-17
Last Update Date
2020-02-17
Business Address
GEORGIY O BONDARCHUK Dive IDC
1465 HEWITT DR
VIRGINIA BEACH, VA 23459-8523
Phone number: 757-462-3991
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Mailing Address
GEORGIY O BONDARCHUK Dive IDC
1465 HEWITT DR
VIRGINIA BEACH, VA 23459-8523
Phone number: 757-462-3991
Copy
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