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1861907867
MELLITA SHAKHMUROV
FRESH MEADOWS, NY
NPI
1861907867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 021517)
Enumeration Date
2017-12-12
Last Update Date
2017-12-12
Business Address
MELLITA SHAKHMUROV PA-C
7512 197TH ST FL 2
FRESH MEADOWS, NY 11366-1817
Phone number: 718-406-3604
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Mailing Address
MELLITA SHAKHMUROV PA-C
7512 197TH ST FL 2
FRESH MEADOWS, NY 11366-1817
Phone number: 718-406-3604
Copy
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