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1730513276
MIKHAIL BOGOMAZ
JACKSONVILLE, FL
NPI
1730513276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY 8825)
Enumeration Date
2013-08-31
Last Update Date
2013-09-20
Business Address
Dr. MIKHAIL BOGOMAZ Psy.D.
6950 PHILIPS HWY SUITE 11
JACKSONVILLE, FL 32216-6074
Phone number: 904-239-3677
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Mailing Address
Dr. MIKHAIL BOGOMAZ Psy.D.
PO BOX 54723
JACKSONVILLE, FL 32245-4723
Phone number:
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