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1912520149
BELLA BALAR KICHIKOV
BROOKLYN, NY
NPI
1912520149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 344248)
Enumeration Date
2020-05-21
Last Update Date
2020-08-13
Business Address
BELLA BALAR KICHIKOV
1797 PITKIN AVE
BROOKLYN, NY 11212-7841
Phone number: 718-367-2555
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Mailing Address
BELLA BALAR KICHIKOV
1797 PITKIN AVE
BROOKLYN, NY 11212-7841
Phone number:
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