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1427148014
LARISA B. YAROSHCHUK
MIDVALE, UT
NPI
1427148014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 5316510-1205)
Enumeration Date
2006-10-13
Last Update Date
2021-12-20
Business Address
LARISA B. YAROSHCHUK MD
7495 S STATE ST
MIDVALE, UT 84047-2013
Phone number: 801-213-9400
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Mailing Address
LARISA B. YAROSHCHUK MD
PO BOX 510004
SALT LAKE CITY, UT 84151-0004
Phone number: 801-213-9400
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