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1477221752
VADIM KOVALEVICH
ERIE, PA
NPI
1477221752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP024104)
Enumeration Date
2021-09-01
Last Update Date
2021-09-01
Business Address
VADIM KOVALEVICH CRNP
2928 PEACH ST
ERIE, PA 16508-1843
Phone number: 814-453-6229
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Mailing Address
VADIM KOVALEVICH CRNP
4102 AMHERST RD
ERIE, PA 16506-5354
Phone number:
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