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1013358654
VICTOR ABUSERIDZE
BROOKLYN, NY
NPI
1013358654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: NY HHACERTIFICATEA00483)
Enumeration Date
2013-07-11
Last Update Date
2013-08-09
Business Address
MR. VICTOR ABUSERIDZE
2145 OCEAN AVENUE, APT. 9A
BROOKLYN, NY 11229
Phone number: 347-549-6512
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Mailing Address
MR. VICTOR ABUSERIDZE
2145 OCEAN AVE APT A9
BROOKLYN, NY 11229-1470
Phone number: 347-549-6512
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