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1356038715
VASIL VALERIEV KUKUSHLIEV
MINNEAPOLIS, MN
NPI
1356038715
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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
2023-04-18
Last Update Date
2024-05-25
Business Address
VASIL VALERIEV KUKUSHLIEV
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454-1450
Phone number: 616-652-4544
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Mailing Address
VASIL VALERIEV KUKUSHLIEV
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454-1450
Phone number: 616-652-4544
Copy
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