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1306595111
KEVIN MISHAN
BRONX, NY
NPI
1306595111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-20
Last Update Date
2022-07-25
Business Address
KEVIN MISHAN DO
4422 3RD AVE
BRONX, NY 10457-2594
Phone number: 718-960-6240
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Mailing Address
KEVIN MISHAN DO
4422 3RD AVE
BRONX, NY 10457-2545
Phone number: 718-960-9000
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