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1720686728
KIRA TRAKTOVENKO
PHILADELPHIA, PA
NPI
1720686728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AM0700X Physician Assistant, Medical
Enumeration Date
2020-10-12
Last Update Date
2021-06-16
Business Address
KIRA TRAKTOVENKO PA-C
7500 CENTRAL AVE STE 104
PHILADELPHIA, PA 19111-2431
Phone number: 215-742-0712
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Mailing Address
KIRA TRAKTOVENKO PA-C
7500 CENTRAL AVE STE 104
PHILADELPHIA, PA 19111-2431
Phone number: 215-742-0712
Copy
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