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Individual

ALEKSEY GABRIYELOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4000 WOODHAVEN RD, PHILADELPHIA, PA 19154-2810
(215) 637-7840
(215) 637-2232
Mailing address
414 NEWGATE CT, APT. A 2, BENSALEM, PA 19020-7769
(267) 266-9921

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP442904
PA

Other

Enumeration date
05/31/2010
Last updated
05/31/2010
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