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Individual
DR. ILONA DAVIDOVNA GOUKASSIAN
Active
Individual
DR. ILONA DAVIDOVNA GOUKASSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0000
RI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2021-01152
NC
390200000X
Student in an Organized Health Care Education/Training Program
247648
NC
Other
Enumeration date
03/18/2016
Last updated
08/23/2021
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