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1336601343
INNOKENTIY KRUPNOV
MIAMI, FL
NPI
1336601343
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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
2019-04-01
Last Update Date
2019-04-01
Business Address
INNOKENTIY KRUPNOV
11750 BIRD RD
MIAMI, FL 33175-3530
Phone number: 305-223-2000
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Mailing Address
INNOKENTIY KRUPNOV
11750 BIRD RD
MIAMI, FL 33175-3530
Phone number: 305-223-2000
Copy
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