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1831517978
BORIS VITVITSKIY
MUNCIE, IN
NPI
1831517978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IN 02005332A)
Enumeration Date
2014-04-05
Last Update Date
2019-02-01
Business Address
BORIS VITVITSKIY D.O.
2525 W UNIVERSITY AVE
MUNCIE, IN 47303-3421
Phone number: 765-751-5886
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Mailing Address
BORIS VITVITSKIY D.O.
1200 W WHITE RIVER BLVD
MUNCIE, IN 47303-4988
Phone number: 765-751-2600
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