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Individual
VALERIY IGUMNOV
Active
Individual
VALERIY IGUMNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201040792RN
OR
171M00000X
Case Manager/Care Coordinator
201040792RN
OR
Other
Enumeration date
12/15/2010
Last updated
03/11/2014
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