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Individual
MR. VLADIMIR KUKSENKO
Active
Individual
MR. VLADIMIR KUKSENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
60525301
WA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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