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1376050799
LIDIA MAXIMOVA
BROOKLYN, NY
NPI
1376050799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 1105874171)
Enumeration Date
2018-01-08
Last Update Date
2018-01-08
Business Address
Ms. LIDIA MAXIMOVA
536 OVINGTON AVE APT 3
BROOKLYN, NY 11209-1723
Phone number: 347-252-7907
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Mailing Address
Ms. LIDIA MAXIMOVA
536 OVINGTON AVE APT 3
BROOKLYN, NY 11209-1723
Phone number: 347-252-7907
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