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Olga Kondratyuk
NPI 1740573757 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1579 S Lake Crest Way
Eagle, ID 83616 - Phone
- (208) 250-6583
- Fax
- (208) 639-6298
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Also registered as
- 171R00000X
172A00000X
372500000X
372600000X
373H00000X
376K00000X - Sex
- Female
- Record last updated
- 2011-05-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho