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1992416366
LASHA KUSRASHVILI
NEW YORK, NY
NPI
1992416366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 831109)
Enumeration Date
2022-12-07
Last Update Date
2022-12-07
Business Address
LASHA KUSRASHVILI
563 W 173RD ST
NEW YORK, NY 10032-1658
Phone number: 681-494-5641
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Mailing Address
LASHA KUSRASHVILI
563 W 173RD ST
NEW YORK, NY 10032-1658
Phone number: 681-494-5641
Copy
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