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1356851562
MIKHAIL SHAKHMATOV
MONTGOMERY, AL
NPI
1356851562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL L.4599)
Enumeration Date
2017-10-03
Last Update Date
2017-10-03
Business Address
MIKHAIL SHAKHMATOV MD
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116-2975
Phone number: 334-613-3680
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Mailing Address
MIKHAIL SHAKHMATOV MD
4371 NARROW LANE RD STE 100
MONTGOMERY, AL 36116-2975
Phone number: 334-613-3680
Copy
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