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1720730039
LARISA CHERNISHUK
PONTIAC, MI
NPI
1720730039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704314636)
Enumeration Date
2022-01-19
Last Update Date
2025-01-08
Business Address
Ms. LARISA CHERNISHUK NP, FNP-BC, FNP-C
462 N TELEGRAPH RD
PONTIAC, MI 48341-1037
Phone number: 248-234-7540
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Mailing Address
Ms. LARISA CHERNISHUK NP, FNP-BC, FNP-C
PO BOX 746723
ATLANTA, GA 30374-6723
Phone number: 312-733-9730
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