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1417698317
SAMUIL IVANOVSKY
LITTLE ROCK, AR
NPI
1417698317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
SAMUIL IVANOVSKY
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205-7199
Phone number: 501-686-7592
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Mailing Address
SAMUIL IVANOVSKY
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205-7199
Phone number: 501-686-7592
Copy
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