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1174894521
RUSLAN MAMEDOV
BROOKLYN, NY
NPI
1174894521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
-- RUSLAN MAMEDOV PA
8001 BAY PKWY APT 1D
BROOKLYN, NY 11214-1957
Phone number: 718-240-8075
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Mailing Address
-- RUSLAN MAMEDOV PA
8001 BAY PKWY APT 1D
BROOKLYN, NY 11214-1957
Phone number:
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