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1396493854
TIMOTHY VITALY KRAVCHENKO
ANN ARBOR, MI
NPI
1396493854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4351050602)
Enumeration Date
2022-03-14
Last Update Date
2023-05-12
Business Address
TIMOTHY VITALY KRAVCHENKO
1500 E MEDICAL CENTER DRIVE 2920 TAUBMAN CENTER, SPC 5331
ANN ARBOR, MI 48109-5331
Phone number: 734-936-5738
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Mailing Address
TIMOTHY VITALY KRAVCHENKO
1500 E MEDICAL CENTER DRIVE 2920 TAUBMAN CENTER, SPC 5331
ANN ARBOR, MI 48109-5331
Phone number: 734-232-4048
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