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1588366470
WADIM VODOVOZOV
GLEN OAKS, NY
NPI
1588366470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
WADIM VODOVOZOV MD
7559 263RD ST
GLEN OAKS, NY 11004-1100
Phone number: 718-470-8005
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Mailing Address
WADIM VODOVOZOV MD
7559 263RD ST
GLEN OAKS, NY 11004-1100
Phone number: 718-470-8005
Copy
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