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1992282651
YAN SULEYMANOV
PHOENIX, AZ
NPI
1992282651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 7120)
Enumeration Date
2018-07-25
Last Update Date
2018-10-23
Business Address
YAN SULEYMANOV
2824 E INDIAN SCHOOL RD STE 5
PHOENIX, AZ 85016-6875
Phone number: 602-840-0056
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Mailing Address
YAN SULEYMANOV
2824 E INDIAN SCHOOL RD
PHOENIX, AZ 85016-6863
Phone number: 602-840-0056
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