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ELENA YUREVNA AGAFONOVA M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1558757666

Individual Registrant:
 ELENA YUREVNA AGAFONOVA M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1400 E CHURCH ST  SANTA MARIA, CA 93454-5906 US
Tel: 805-739-3000  Fax: --

Contact information for business:
791 PRICE ST # 501  PISMO BEACH, CA 93449-2529 US
Tel: 435-513-2213  Fax: --

Registration Information:
NPI: 1558757666
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA150661

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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