Evgenii Boriushkin
Technician, Other in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1023361698
StatusActive
Last updated in NPPESOct 19, 2012
Details
- NPI
- 1023361698
- Entity type
- Individual (NPI-1)
- Name
- Evgenii Boriushkin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2012
- Last updated
- Oct 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
2032 Nw 26th St Apt 7Oklahoma City, OK 73106-1224
Phone 405-589-8960
Mailing address
2032 Nw 26th St Apt 7Oklahoma City, OK 73106-1224
Phone 405-589-8960
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