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1922637479
VITALIY KOVALEVYCH
LIMA, OH
NPI
1922637479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-06
Last Update Date
2020-04-06
Business Address
VITALIY KOVALEVYCH
730 W MARKET ST
LIMA, OH 45801-4667
Phone number: 419-226-9301
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Mailing Address
VITALIY KOVALEVYCH
730 W MARKET ST
LIMA, OH 45801-4667
Phone number: 419-226-9301
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