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Individual

MIKHAIL Y DRUZHININ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSFA, CST

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SA.0001714
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
04/15/2013
Last updated
09/13/2018
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