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1326256405
ALEXANDER LAZEBNIK
REVERE, MA
NPI
1326256405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: MA s82758094)
Enumeration Date
2007-05-20
Last Update Date
2007-07-08
Business Address
Mr. ALEXANDER LAZEBNIK
376 OCEAN AVE APT 603
REVERE, MA 02151-2645
Phone number: 781-956-9779
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Mailing Address
Mr. ALEXANDER LAZEBNIK
376 OCEAN AVE APT 603
REVERE, MA 02151-2645
Phone number: 781-956-9779
Copy
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