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1609072792
KIM N POLUDNIANYK
LAKE CHARLES, LA
NPI
1609072792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: LA 320010)
Enumeration Date
2007-06-25
Last Update Date
2019-08-26
Business Address
KIM N POLUDNIANYK D.O.
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601
Phone number: 337-494-4900
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Mailing Address
KIM N POLUDNIANYK D.O.
PO BOX 122165 DEPT 2165
DALLAS, TX 75312-2165
Phone number: 337-494-4900
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