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1376106229
LEONID IGOREVICH AKSENOV
DURHAM, NC
NPI
1376106229
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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
2019-04-17
Last Update Date
2019-04-17
Business Address
LEONID IGOREVICH AKSENOV
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-8111
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Mailing Address
LEONID IGOREVICH AKSENOV
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number:
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