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Individual

ANASTASIA S OLEINIKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
1800 SE MILE HILL DR, SUITE 150, PORT ORCHARD, WA 98366-3511
(360) 874-0232
(360) 874-0658
Mailing address
2018 46TH ST NW, GIG HARBOR, WA 98335-1412
(914) 309-2278

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60074580
WA

Other

Enumeration date
03/27/2009
Last updated
08/23/2011
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