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1871844316
MIKHAIL KISSELEV, ND, PH.D, LLC
SEATTLE, WA
NPI
1871844316
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Entity Type
Organization
Authorized Contact
MIKHAIL O. KISSELEV
Medical Director
206-361-0108
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2012-09-24
Last Update Date
2012-09-24
Business Address
MIKHAIL KISSELEV, ND, PH.D, LLC
11524 15TH AVE NE SUITE C
SEATTLE, WA 98125-6357
Phone number: 206-361-0108
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Mailing Address
MIKHAIL KISSELEV, ND, PH.D, LLC
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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