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1487909412
LIRAN DOMACHEVSKY
BROOKLINE, MA
NPI
1487909412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085N0904X Radiology, Nuclear Radiology
(Licence: MA 248431)
Enumeration Date
2012-07-16
Last Update Date
2012-07-16
Business Address
-- LIRAN DOMACHEVSKY
375 BOYLSTON ST
BROOKLINE, MA 02445-6007
Phone number: 857-307-0849
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Mailing Address
-- LIRAN DOMACHEVSKY
29 BARTLETT CRESCENT APT 2
BROOKLINE, MA 02446
Phone number: 617-529-2093
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