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1780797035
ALEKSANDER IVANOVICH MALAKHOV
BENTON, TN
NPI
1780797035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 36698)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
ALEKSANDER IVANOVICH MALAKHOV M.D.
HIGHWAY 411 SOUTH
BENTON, TN 37307-0308
Phone number: 423-338-2831
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Mailing Address
ALEKSANDER IVANOVICH MALAKHOV M.D.
HIGHWAY 411 SOUTH
BENTON, TN 37307-0308
Phone number: 423-338-2831
Copy
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