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1194055491
ROZA KHALILOVA
BROOKLYN, NY
NPI
1194055491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009485)
Enumeration Date
2010-01-08
Last Update Date
2010-01-08
Business Address
-- ROZA KHALILOVA R-PAC
1220 AVENUE P
BROOKLYN, NY 11229-1009
Phone number: 718-376-1004
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Mailing Address
-- ROZA KHALILOVA R-PAC
11155 77TH AVE APT# 1J
FOREST HILLS, NY 11375-7035
Phone number: 718-575-8702
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