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Individual
BORIS SEVERINSKY
Active
Individual
BORIS SEVERINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC5225
FL
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT003068
GA
Other
Enumeration date
08/09/2016
Last updated
02/05/2018
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