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1003290727
RAFAEL ROBENOV
JAMAICA, NY
NPI
1003290727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 018724)
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
-- RAFAEL ROBENOV RPA-C
84-42 151ST STREET
JAMAICA, NY 11432
Phone number: 718-350-6252
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Mailing Address
-- RAFAEL ROBENOV RPA-C
8442 151ST ST
JAMAICA, NY 11432-1618
Phone number: 718-350-6252
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