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1831588508
MAKSIM MELNIKOV
JAMAICA, NY
NPI
1831588508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 315466-1)
Enumeration Date
2015-01-17
Last Update Date
2015-01-17
Business Address
-- MAKSIM MELNIKOV
8451 LANDER ST
JAMAICA, NY 11435-2020
Phone number: 718-708-9837
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Mailing Address
-- MAKSIM MELNIKOV
8451 LANDER ST
JAMAICA, NY 11435-2020
Phone number: 718-708-9837
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