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1629009246
OLEG PROKOPENKO
BEVERLY HILLS, CA
NPI
1629009246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT19551)
Enumeration Date
2006-07-05
Last Update Date
2019-10-27
Business Address
OLEG PROKOPENKO PT
360 S OAKHURST DR
BEVERLY HILLS, CA 90212
Phone number: 310-625-9768
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Mailing Address
OLEG PROKOPENKO PT
360 S OAKHURST DR
BEVERLY HILLS, CA 90212-3506
Phone number: 310-625-9768
Copy
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