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1407696040
ELENA DERNOVISH
HENRICO, VA
NPI
1407696040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305216472)
Enumeration Date
2024-05-30
Last Update Date
2024-05-30
Business Address
ELENA DERNOVISH DPT
1340 GASKINS RD UNIT 12
HENRICO, VA 23238-4919
Phone number: 804-747-4417
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Mailing Address
ELENA DERNOVISH DPT
1340 GASKINS RD UNIT 12
HENRICO, VA 23238-4919
Phone number:
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