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1639438435
ILLIA KOVALEV
SHERMAN OAKS, CA
NPI
1639438435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RS0012X Internal Medicine, Sleep Medicine
(Licence: CA 0002615765-0001-5)
Enumeration Date
2012-05-14
Last Update Date
2012-05-14
Business Address
-- ILLIA KOVALEV
4533 VAN NUYS BLVD STE 302
SHERMAN OAKS, CA 91403-2950
Phone number: 818-849-6755
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Mailing Address
-- ILLIA KOVALEV
4533 VAN NUYS BLVD STE 302
SHERMAN OAKS, CA 91403-2950
Phone number: 818-849-6755
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