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1760642102
TEIMURAZ BALACHVILI
BROOKLYN, NY
NPI
1760642102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 052466)
Enumeration Date
2008-06-10
Last Update Date
2008-06-10
Business Address
-- TEIMURAZ BALACHVILI
2577 NOSTRAND AVE
BROOKLYN, NY 11210-4640
Phone number: 718-258-1912
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Mailing Address
-- TEIMURAZ BALACHVILI
2581 E 28TH ST
BROOKLYN, NY 11235-2018
Phone number:
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