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1780046045
MYROSLAV GERASYMCHUK
DETROIT, MI
NPI
1780046045
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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
2016-03-25
Last Update Date
2016-03-25
Business Address
MYROSLAV GERASYMCHUK
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
MYROSLAV GERASYMCHUK
3944 GATWICK DR
TROY, MI 48083-5176
Phone number: 248-207-2732
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