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1699256339
SERGUEI JOURAVLEV
BRONX, NY
NPI
1699256339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 022472)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
SERGUEI JOURAVLEV PA-C
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-8379
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Mailing Address
SERGUEI JOURAVLEV PA-C
61 ROSLYN DR
GLEN HEAD, NY 11545-1733
Phone number: 704-779-7350
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