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1720225733
VADIM KRUZHKOV
BROOKLYN, NY
NPI
1720225733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1100X Technician/Technologist, Ophthalmic
(Licence: NY 007005)
Enumeration Date
2009-01-13
Last Update Date
2009-01-13
Business Address
Mr. VADIM KRUZHKOV
764 MANHATTAN AVE
BROOKLYN, NY 11222-2967
Phone number: 718-349-8313
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Mailing Address
Mr. VADIM KRUZHKOV
764 MANHATTAN AVE
BROOKLYN, NY 11222-2967
Phone number: 718-349-8313
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