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1356639835
TAMARA SHIMUNOV
JAMAICA, NY
NPI
1356639835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018345)
Enumeration Date
2011-07-18
Last Update Date
2015-08-19
Business Address
-- TAMARA SHIMUNOV PA
14130 PERSHING CRES
JAMAICA, NY 11435-1952
Phone number: 929-365-1271
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Mailing Address
-- TAMARA SHIMUNOV PA
14130 PERSHING CRES
JAMAICA, NY 11435-1952
Phone number:
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