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1679685697
VADIM LVOVICH
JONESBORO, GA
NPI
1679685697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 1437)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- VADIM LVOVICH
405 ARROWHEAD BLVD SUITE C
JONESBORO, GA 30236-1254
Phone number: 770-478-9877
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Mailing Address
-- VADIM LVOVICH
5570 ARROWIND RD NW
LILBURN, GA 30047-8211
Phone number: 770-717-8997
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