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Organization

NINAK INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR ABIRAGI M.D., (MEDICAL PRACTICE MANAGER)
(248) 252-5314
Entity
Organization

Contact information

Practice address
1916 EVANS AVE, CHEYENNE, WY 82001-3716
(248) 525-5314
(877) 353-2634
Mailing address
23371 MULHOLLAND DR # 327, WOODLAND HILLS, CA 91364-2734
(248) 525-5314
(877) 353-2634

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
W306535
WY

Other

Enumeration date
08/27/2010
Last updated
08/27/2010
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