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1407339690
MIRA MANASHIROVA
REGO PARK, NY
NPI
1407339690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-09-13
Last Update Date
2018-09-13
Business Address
MIRA MANASHIROVA
9777 QUEENS BLVD PH
REGO PARK, NY 11374-3300
Phone number: 718-896-9090
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Mailing Address
MIRA MANASHIROVA
8029 214TH ST
QUEENS VILLAGE, NY 11427-1044
Phone number: 646-736-8223
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