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1245574409
ANGELICA GAVRILOVA
JAMAICA, NY
NPI
1245574409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 016239)
Enumeration Date
2012-11-12
Last Update Date
2012-11-12
Business Address
-- ANGELICA GAVRILOVA RPA-C
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3000
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Mailing Address
-- ANGELICA GAVRILOVA RPA-C
8357 118TH ST APT 5K
KEW GARDENS, NY 11415-2323
Phone number:
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