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Individual
OLHA FOMENKO
Active
Individual
OLHA FOMENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
52909-20
WI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A105788
CA
Other
Enumeration date
05/15/2007
Last updated
02/12/2014
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