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1033426051
LEONID MIRAKOV
BROOKLYN, NY
NPI
1033426051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 603602-1)
Enumeration Date
2010-09-13
Last Update Date
2010-09-13
Business Address
-- LEONID MIRAKOV RN
3502 AVENUE P
BROOKLYN, NY 11234-3422
Phone number: 718-208-5537
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Mailing Address
-- LEONID MIRAKOV RN
3502 AVENUE P
BROOKLYN, NY 11234-3422
Phone number: 718-208-5537
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