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1285211961
ILIA GERASSIMOV
LITTLE FERRY, NJ
NPI
1285211961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 024648)
Enumeration Date
2021-03-27
Last Update Date
2021-03-27
Business Address
ILIA GERASSIMOV LMT
14 CENTER ST
LITTLE FERRY, NJ 07643-1803
Phone number: 718-506-4515
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Mailing Address
ILIA GERASSIMOV LMT
14 CENTER ST
LITTLE FERRY, NJ 07643-1803
Phone number: 718-506-4515
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