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1922428010
DMITRIY MASHKARUK
WHEATLAND, WY
NPI
1922428010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 1221)
Enumeration Date
2014-04-16
Last Update Date
2014-04-16
Business Address
-- DMITRIY MASHKARUK
204 15TH ST
WHEATLAND, WY 82201-3224
Phone number: 307-322-6406
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Mailing Address
-- DMITRIY MASHKARUK
4251 KIPLING ST UNIT 340
WHEAT RIDGE, CO 80033-2898
Phone number:
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