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1457812851
ILIA PASHINTSEV
NORTH BERGEN, NJ
NPI
1457812851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10085248)
Enumeration Date
2019-03-28
Last Update Date
2023-07-28
Business Address
ILIA PASHINTSEV
7600 RIVER RD
NORTH BERGEN, NJ 07047-6217
Phone number: 201-710-2756
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Mailing Address
ILIA PASHINTSEV
2215 N CENTRAL RD APT 5G
FORT LEE, NJ 07024-7561
Phone number: 201-918-1112
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