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1346224763
ALEKSANDR FEDOVSKIY
STOCKBRIDGE, GA
NPI
1346224763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 003692)
Enumeration Date
2005-11-30
Last Update Date
2023-03-29
Business Address
ALEKSANDR FEDOVSKIY PAAA
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281-5085
Phone number: 678-604-1053
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Mailing Address
ALEKSANDR FEDOVSKIY PAAA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839
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