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1518699230
MAX ILICH PUKHALSKIY
PHOENIX, AZ
NPI
1518699230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
Dr. MAX ILICH PUKHALSKIY DPM
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 916-923-8490
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Mailing Address
Dr. MAX ILICH PUKHALSKIY DPM
6545 N 19TH AVE APT C17
PHOENIX, AZ 85015-1645
Phone number: 916-923-8490
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