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Individual

EUGENE GRABOVSKIY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3822 COURTLAND OVAL, BRUNSWICK, OH 44212-1829
(440) 781-4968
Mailing address
3822 COURTLAND OVAL, BRUNSWICK, OH 44212-1829

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 101112
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2229056
OH
Enumeration date
03/19/2007
Last updated
07/09/2007
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