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1134548464
MYRA DIMITROV DIMITROV
PALMER, AK
NPI
1134548464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AK 125163)
Enumeration Date
2014-04-15
Last Update Date
2019-11-08
Business Address
MYRA DIMITROV DIMITROV M.D.
2323 S TRUNK RD APT 6
PALMER, AK 99645
Phone number: 907-746-6644
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Mailing Address
MYRA DIMITROV DIMITROV M.D.
2323 S TRUNK RD APT 6
PALMER, AK 99645-5940
Phone number: 907-746-6644
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