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1487385795
NIKOLOZI BOSTASHVILI
BRONX, NY
NPI
1487385795
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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
2022-06-19
Last Update Date
2022-06-19
Business Address
NIKOLOZI BOSTASHVILI
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 718-579-6840
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Mailing Address
NIKOLOZI BOSTASHVILI
6 E WASHINGTON AVE
ELMWOOD PARK, NJ 07407-2804
Phone number: 201-873-5169
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