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1417781451
PAVEL KOSTYSHAK
PETALUMA, CA
NPI
1417781451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA DC37071)
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
PAVEL KOSTYSHAK DC
191 LYNCH CREEK WAY #204
PETALUMA, CA 94954
Phone number: 707-776-6445
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Mailing Address
PAVEL KOSTYSHAK DC
25190 CYPRESS AVE APT 211
HAYWARD, CA 94544-2216
Phone number: 916-793-9039
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