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1962282749
IGOR V SHAPOVAL
CLACKAMAS, OR
NPI
1962282749
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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
2023-09-29
Last Update Date
2023-09-29
Business Address
IGOR V SHAPOVAL
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-813-2000
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Mailing Address
IGOR V SHAPOVAL
11105 NE 102ND ST
VANCOUVER, WA 98662-3302
Phone number:
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