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1598225484
VIRA IHORIVNA AYZENBART
ROANOKE, VA
NPI
1598225484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-25
Last Update Date
2019-03-26
Business Address
VIRA IHORIVNA AYZENBART MD
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7120
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Mailing Address
VIRA IHORIVNA AYZENBART MD
8005 THRUSH RIDGE LN
RALEIGH, NC 27615-3770
Phone number: 919-621-1694
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