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1700158672
VITALY JURAVSKY
SAN DIEGO, CA
NPI
1700158672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 672933)
Enumeration Date
2012-02-07
Last Update Date
2012-02-07
Business Address
-- VITALY JURAVSKY
3853 ROSECRANS STREET SAN DIEGO, CA
SAN DIEGO, CA 92110
Phone number: 619-692-8232
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Mailing Address
-- VITALY JURAVSKY
6860 HYDE PARK DR UNIT D
SAN DIEGO, CA 92119-2228
Phone number: 619-644-2363
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