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1720758212
POLA BOAZAK
BROOKLYN, NY
NPI
1720758212
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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
2021-09-15
Last Update Date
2021-09-15
Business Address
POLA BOAZAK
4802 10TH AVE
BROOKLYN, NY 11219-2916
Phone number: 718-283-6000
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Mailing Address
POLA BOAZAK
968 60TH ST
BROOKLYN, NY 11219-4847
Phone number:
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