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1932518321
ANGELINA MAMANOVA
FRESH MEADOWS, NY
NPI
1932518321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 017684)
Enumeration Date
2014-08-11
Last Update Date
2014-08-11
Business Address
-- ANGELINA MAMANOVA
17408 73RD AVE
FRESH MEADOWS, NY 11366-1404
Phone number: 646-233-9405
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Mailing Address
-- ANGELINA MAMANOVA
17408 73RD AVE
FRESH MEADOWS, NY 11366-1404
Phone number: 646-233-9405
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