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1710218037
TATYANA KIRICHENKO
GREENSBORO, NC
NPI
1710218037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-02192)
Enumeration Date
2010-01-26
Last Update Date
2011-09-09
Business Address
-- TATYANA KIRICHENKO PA-C
1200 N ELM ST
GREENSBORO, NC 27401-1004
Phone number: 336-706-2255
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Mailing Address
-- TATYANA KIRICHENKO PA-C
PO BOX 602598 WAKE FOREST UNIVERSITY HEALTH SCIENCES
CHARLOTTE, NC 28260-2598
Phone number: 336-716-2255
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