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1407124423
ILYA MALANIY
DALLAS, TX
NPI
1407124423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP121353)
Enumeration Date
2011-12-05
Last Update Date
2020-06-30
Business Address
Mr. ILYA MALANIY CRNA
6606 LBJ FWY STE 200
DALLAS, TX 75240-6524
Phone number: 972-715-5000
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Mailing Address
Mr. ILYA MALANIY CRNA
PO BOX 840853
DALLAS, TX 75284-0865
Phone number: 972-715-5000
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