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1891744876
YELIZAVETA VALERIYEVNA MAKHATADZE
FORT SMITH, AR
NPI
1891744876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E4609)
Enumeration Date
2006-05-08
Last Update Date
2013-08-02
Business Address
-- YELIZAVETA VALERIYEVNA MAKHATADZE M.D.
7301 ROGERS AVE
FORT SMITH, AR 72903-4100
Phone number: 479-314-5175
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Mailing Address
-- YELIZAVETA VALERIYEVNA MAKHATADZE M.D.
7301 ROGERS AVE
FORT SMITH, AR 72903-4100
Phone number: 479-314-5175
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