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Individual

DIANA GORBUNOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 547-8450
Mailing address
1627 LAMONT ST NW APT 2, WASHINGTON, DC 20010-2744
(202) 468-1714

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGPC200001585
DC

Other

Enumeration date
10/03/2023
Last updated
10/05/2023
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