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1720697048
ELLI JACOB MATATOV
BROOKLYN, NY
NPI
1720697048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
ELLI JACOB MATATOV
714 E 9TH ST
BROOKLYN, NY 11230-2202
Phone number: 347-462-7521
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Mailing Address
ELLI JACOB MATATOV
714 E 9TH ST
BROOKLYN, NY 11230-2202
Phone number: 347-462-7521
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