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1174726095
ELINA GAVRILOVA
LONG ISLAND CITY, NY
NPI
1174726095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011611)
Enumeration Date
2007-06-07
Last Update Date
2007-07-08
Business Address
-- ELINA GAVRILOVA R-PAC
3141 45TH ST
LONG ISLAND CITY, NY 11103-1621
Phone number: 718-721-1500
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Mailing Address
-- ELINA GAVRILOVA R-PAC
3141 45TH ST
LONG ISLAND CITY, NY 11103-1621
Phone number: 718-721-1500
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