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1326354721
ROMAN JAKUBOV
BROOKLYN, NY
NPI
1326354721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: NY 008905)
Enumeration Date
2010-08-23
Last Update Date
2010-08-23
Business Address
ROMAN JAKUBOV OPHTHALMIC DISPENSER
323 AVENUE X
BROOKLYN, NY 11223-5913
Phone number: 718-265-1900
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Mailing Address
ROMAN JAKUBOV OPHTHALMIC DISPENSER
323 AVENUE X
BROOKLYN, NY 11223-5913
Phone number: 718-265-1900
Copy
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