Individual
IGNAT SLEPOKOUROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 W 45TH ST, NEW YORK, NY 10036-4602
(877) 438-9335
Mailing address
127 HARBORS WAY, BOYNTON BEACH, FL 33435-2400
(561) 779-7903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73312
FL
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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