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Individual
ALEKSANDR BACHAYEV
Active
Individual
ALEKSANDR BACHAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
09-316
CO
282N00000X
General Acute Care Hospital
09-316
CO
Other
Enumeration date
03/06/2010
Last updated
04/05/2014
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