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1487407540
TAISA VASILKOVA
SYRACUSE, NY
NPI
1487407540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
TAISA VASILKOVA DO
301 PROSPECT AVE
SYRACUSE, NY 13203-1899
Phone number: 315-448-5111
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Mailing Address
TAISA VASILKOVA DO
301 PROSPECT AVE
SYRACUSE, NY 13203-1899
Phone number: 315-448-5111
Copy
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