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1811478167
DORIS SHAMUILOVA
ELMHURST, NY
NPI
1811478167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 022612)
Enumeration Date
2018-08-24
Last Update Date
2024-08-23
Business Address
DORIS SHAMUILOVA
9119 QUEENS BLVD
ELMHURST, NY 11373-5531
Phone number: 646-647-1253
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Mailing Address
DORIS SHAMUILOVA
7623 173RD ST
FRESH MEADOWS, NY 11366-1431
Phone number:
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