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1114775368
MICHAL MIA SHALAMOV
NEPTUNE, NJ
NPI
1114775368
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Former Name
MIHAL SHALAMOV
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-10
Last Update Date
2024-11-27
Business Address
Dr. MICHAL MIA SHALAMOV MD
1945 ROUTE 33
NEPTUNE, NJ 07753
Phone number: 732-776-4454
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Mailing Address
Dr. MICHAL MIA SHALAMOV MD
1945 ROUTE 33
NEPTUNE, NJ 07753
Phone number: 732-776-4454
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