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1528327426
OLEXANDR AGAFONOV
SACRAMENTO, CA
NPI
1528327426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 747031)
Enumeration Date
2012-05-11
Last Update Date
2012-05-11
Business Address
-- OLEXANDR AGAFONOV RN
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1000
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Mailing Address
-- OLEXANDR AGAFONOV RN
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number:
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