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1285075937
NIKOLAY NISIMOV
LONG BEACH, CA
NPI
1285075937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2013-07-10
Last Update Date
2013-07-10
Business Address
-- NIKOLAY NISIMOV COTA
330 GOLDEN SHR
LONG BEACH, CA 90802-4246
Phone number: 866-985-5008
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Mailing Address
-- NIKOLAY NISIMOV COTA
855 S WOOSTER ST
LOS ANGELES, CA 90035-1772
Phone number:
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