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1801210539
IGOR SHKURATOV
ROSEVILLE, CA
NPI
1801210539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 14103)
Enumeration Date
2014-02-17
Last Update Date
2014-02-17
Business Address
-- IGOR SHKURATOV
3 MEDICAL PLAZA DR SUITE 100
ROSEVILLE, CA 95661-3087
Phone number: 916-797-4734
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Mailing Address
-- IGOR SHKURATOV
10470 OLD PLACERVILLE RD SUITE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071
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