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1811502107
ROMAN R DOMATOV
REGO PARK, NY
NPI
1811502107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 066940)
Enumeration Date
2020-09-13
Last Update Date
2020-09-13
Business Address
DR. ROMAN R DOMATOV
9618 67TH AVE
REGO PARK, NY 11374-5138
Phone number: 917-974-3739
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Mailing Address
DR. ROMAN R DOMATOV
9618 67TH AVE
REGO PARK, NY 11374-5138
Phone number: 917-974-3739
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