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Individual

LYUBOV ZAVERUKHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4933 W ASTONTE ST, MERIDIAN, ID 83646-7101
(208) 284-8148
Mailing address
4933 W ASTONTE ST, MERIDIAN, ID 83646-7101

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OTA-1035
ID

Other

Enumeration date
11/28/2016
Last updated
11/28/2016
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