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1427603927
ALEXANDER IAVOROV ATANASSOV
PHILLIPSBURG, NJ
NPI
1427603927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
ALEXANDER IAVOROV ATANASSOV
304 N PROSPECT ST
PHILLIPSBURG, NJ 08865-1345
Phone number: 908-514-9635
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Mailing Address
ALEXANDER IAVOROV ATANASSOV
304 N PROSPECT ST
PHILLIPSBURG, NJ 08865-1345
Phone number: 908-514-9635
Copy
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