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OLEG BORISYUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LDH

Contact information

Practice address
804 S GREEN RIVER RD, EVANSVILLE, IN 47715-4106
(812) 324-1981
Mailing address
5311 OAKWOOD DR, NEWBURGH, IN 47630-2133
(615) 522-7124

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13007834A
IN

Other

Enumeration date
08/28/2020
Last updated
08/28/2020
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