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1447002332
DIMITRY IGOREVICH SHITAREV
GREENSBORO, NC
NPI
1447002332
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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
2024-04-03
Last Update Date
2024-04-03
Business Address
DIMITRY IGOREVICH SHITAREV MD
1125 N CHURCH ST
GREENSBORO, NC 27401-1007
Phone number: 336-832-8035
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Mailing Address
DIMITRY IGOREVICH SHITAREV MD
1125 N CHURCH ST
GREENSBORO, NC 27401-1007
Phone number: 336-832-8035
Copy
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