Individual
EVGENII BORIUSHKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2032 NW 26TH ST APT 7, OKLAHOMA CITY, OK 73106-1224
(405) 589-8960
Mailing address
2032 NW 26TH ST APT 7, OKLAHOMA CITY, OK 73106-1224
(405) 589-8960
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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