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1346985538
ILYA SELEZNEV
SAINT LOUIS, MO
NPI
1346985538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-02
Last Update Date
2022-05-02
Business Address
Dr. ILYA SELEZNEV MD
6420 CLAYTON RD
SAINT LOUIS, MO 63117-1811
Phone number: 315-768-8778
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Mailing Address
Dr. ILYA SELEZNEV MD
6420 CLAYTON RD
SAINT LOUIS, MO 63117-1811
Phone number: 315-768-8778
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