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1578906616
ANTON SERGEEVICH BAZAROV
KINGS MOUNTAIN, NC
NPI
1578906616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC 2017-02480)
Enumeration Date
2013-04-08
Last Update Date
2024-07-15
Business Address
ANTON SERGEEVICH BAZAROV MD
706 W KING ST
KINGS MOUNTAIN, NC 28086-2708
Phone number: 980-487-3751
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Mailing Address
ANTON SERGEEVICH BAZAROV MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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