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1780207274
ISABEL MISHA VYAZMENSKY
LOUISVILLE, KY
NPI
1780207274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
ISABEL MISHA VYAZMENSKY DMD
2211 S BROOK ST ROOM 105
LOUISVILLE, KY 40292-2442
Phone number: 502-852-3534
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Mailing Address
ISABEL MISHA VYAZMENSKY DMD
2211 S BROOK ST ROOM 105
LOUISVILLE, KY 40292-2442
Phone number:
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