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1225405038
IGOR VASILJ
FORT DRUM, NY
NPI
1225405038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WY 692)
Enumeration Date
2015-08-27
Last Update Date
2019-11-22
Business Address
Dr. IGOR VASILJ Ph.D.
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Phone number: 315-408-2411
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Mailing Address
Dr. IGOR VASILJ Ph.D.
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-408-2411
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