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Larisa Avramovna Gavrilyuk
Student in an Organized Health Care Education/Training Program in Oak Park, Michigan
NPI 1124774229

Larisa Avramovna Gavrilyuk is a Student in an Organized Health Care Education/Training Program based in Huntington Woods, MI. Larisa Avramovna Gavrilyuk practices in Oak Park, MI. The NPI Number for Larisa Avramovna Gavrilyuk is 1124774229 and holds a License No. (Michigan).

The current practice location address for Larisa Avramovna Gavrilyuk is 14061 Ludlow St, Oak Park, MI and can be reached out via phone at 248-854-4302.

Location: 14061 Ludlow St, Oak Park, MI, 48070-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124774229
Provider Name
Larisa Avramovna Gavrilyuk
Credential
Provider Entity Type
Individual
Gender
Female
Address
14061 Ludlow St, Oak Park, MI, 48070-1415
Phone Number
248-854-4302
Fax Number
Provider Enumeration Date
02/28/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5303008597 01 MI PHARMACY TECHNICIAN LICENSE
institution
Provider Business Practice Location Address Details
Address
14061 Ludlow St
City
Oak Park
State
Michigan
Zip
48237-1352
Phone Number
248-854-4302
Fax Number
person
Provider Business Mailing Address Details
Address
14061 Ludlow St
City
Oak Park
State
Michigan
Zip
48237-1352
Phone Number
248-854-4302
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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