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YULIA KUSTOVA — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, CA)

YULIA KUSTOVA — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, CA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: YULIA KUSTOVA; Type: Individual; NPI: 1003121203.

NameYULIA KUSTOVA
TypeIndividual
NPI1003121203
Provider typePRACTITIONER - PHYSICIAN ASSISTANT
StateCA
Enrollment IDI20180130002583
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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