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1912526773
IVAN BANDOVIC
DETROIT, MI
NPI
1912526773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-13
Last Update Date
2020-04-13
Business Address
IVAN BANDOVIC DO
22101 MOROSS RD STE 214
DETROIT, MI 48236-2148
Phone number: 313-343-4000
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Mailing Address
IVAN BANDOVIC DO
130 POST AVE APT 223
WESTBURY, NY 11590-3284
Phone number: 646-515-7133
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