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1972073161
DMITRI KIBENKO
CHARLOTTE, NC
NPI
1972073161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 260206)
Enumeration Date
2018-11-29
Last Update Date
2019-01-04
Business Address
Mr. DMITRI KIBENKO CRNA
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-2000
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Mailing Address
Mr. DMITRI KIBENKO CRNA
7431 FOWLER SPRINGS LN
CHARLOTTE, NC 28212-6989
Phone number:
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