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1780255281
SERGEY SERZHANTOV
FPO, AP
NPI
1780255281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2021-07-06
Last Update Date
2023-10-04
Business Address
SERGEY SERZHANTOV IDC
PSC 561 MCASI BUILDING 110
FPO, AP 96310-0019
Phone number: 719-640-2828
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Mailing Address
SERGEY SERZHANTOV IDC
PSC 562 BOX 7165
FPO, AP 96311-0072
Phone number: 719-640-2828
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