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1063741049
KSENIA PAVLOVA
BROOKLYN, NY
NPI
1063741049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY 390200000x)
Enumeration Date
2009-12-21
Last Update Date
2009-12-21
Business Address
Dr. KSENIA PAVLOVA D.O
150 55TH ST
BROOKLYN, NY 11220-2559
Phone number: 718-630-7000
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Mailing Address
Dr. KSENIA PAVLOVA D.O
150 55TH ST
BROOKLYN, NY 11220-2559
Phone number:
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