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1740515824
VITALIY PELIKHATYY
BOISE, ID
NPI
1740515824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ID 100541)
Enumeration Date
2009-10-07
Last Update Date
2023-06-08
Business Address
Dr. VITALIY PELIKHATYY O.D
8359 W EMERALD ST
BOISE, ID 83704-8304
Phone number: 208-321-0901
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Mailing Address
Dr. VITALIY PELIKHATYY O.D
8359 W EMERALD ST
BOISE, ID 83704-8304
Phone number: 360-721-7293
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