Individual
ALEX GAVRILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1087 DENNISON AVE, COLUMBUS, OH 43201-3201
(614) 484-9600
Mailing address
335 COLDWELL DR, GAHANNA, OH 43230-1772
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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