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1689141483
VADIM DANIELIAN
BURBANK, CA
NPI
1689141483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95009567)
Enumeration Date
2018-10-30
Last Update Date
2018-10-30
Business Address
VADIM DANIELIAN
9439 VIA VENEZIA
BURBANK, CA 91504-1244
Phone number: 323-821-7772
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Mailing Address
VADIM DANIELIAN
9439 VIA VENEZIA
BURBANK, CA 91504-1244
Phone number: 323-821-7772
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