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1609645506
MYKOLA KINDRAT
GRASS VALLEY, CA
NPI
1609645506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-20
Last Update Date
2024-01-18
Business Address
MYKOLA KINDRAT
988 MCCOURTNEY RD
GRASS VALLEY, CA 95949-7400
Phone number: 530-470-2736
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Mailing Address
MYKOLA KINDRAT
500 CROWN POINT CIR STE 120
GRASS VALLEY, CA 95945-9561
Phone number:
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