RUSLAN KHAMITOV

LAKELAND, FL
NPI1851837272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: CO  15-284)
Enumeration Date2017-01-09
Last Update Date2017-01-09
Business Address
-- RUSLAN KHAMITOV
4619 CRESTVIEW LN
LAKELAND, FL 33813-2415
Phone number: 863-944-6935
Mailing Address
-- RUSLAN KHAMITOV
4619 CRESTVIEW LANE
LAKELAND, FL 33813-2415
Phone number: 863-944-6935
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