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1538598693
DEMIS KHAIMOV
FLUSHING, NY
NPI
1538598693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 017124-1)
Enumeration Date
2013-11-08
Last Update Date
2013-11-08
Business Address
-- DEMIS KHAIMOV
14136 73RD AVE
FLUSHING, NY 11367-2320
Phone number: 347-556-5670
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Mailing Address
-- DEMIS KHAIMOV
14136 73RD AVE
FLUSHING, NY 11367-2320
Phone number: 347-556-5670
Copy
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