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Individual
EUGENIA SHALAMOV
Active
Individual
EUGENIA SHALAMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
653695121
NY
174400000X
Specialist
Primary
669602121
NY
Other
Enumeration date
09/12/2012
Last updated
07/31/2014
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