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1467193185
ROMAN DMITRIYEV
PHOENIX, AZ
NPI
1467193185
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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
Dr. ROMAN DMITRIYEV DO
1441 N 12TH ST FL 2
PHOENIX, AZ 85006-2837
Phone number: 602-521-5969
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Mailing Address
Dr. ROMAN DMITRIYEV DO
1441 N 12TH ST FL 2
PHOENIX, AZ 85006-2837
Phone number: 602-521-5969
Copy
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