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1932862497
ALISA KUBLANOVSKY
LOS ANGELES, CA
NPI
1932862497
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Former Name
ANNA KUBLANOVSKAYA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95018898)
Enumeration Date
2021-10-20
Last Update Date
2021-10-20
Business Address
ALISA KUBLANOVSKY
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1600
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Mailing Address
ALISA KUBLANOVSKY
7316 SANTA MONICA BLVD APT 112
WEST HOLLYWOOD, CA 90046-6671
Phone number: 424-302-2814
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