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1487942256
RIVA KONOVAL
LAUDERDALE LAKES, FL
NPI
1487942256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA 2685)
Enumeration Date
2011-07-14
Last Update Date
2011-10-31
Business Address
RIVA KONOVAL PA
3500 N STATE ROAD 7 STE 211
LAUDERDALE LAKES, FL 33319-5625
Phone number: 954-766-4233
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Mailing Address
RIVA KONOVAL PA
3500 N STATE ROAD 7 STE 211
LAUDERDALE LAKES, FL 33319-5625
Phone number: 954-766-4233
Copy
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