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1003126103
YELENA A SHAMALOVA
REGO PARK, NY
NPI
1003126103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 012926)
Enumeration Date
2010-10-08
Last Update Date
2010-10-08
Business Address
Miss YELENA A SHAMALOVA ot
6485 SAUNDERS ST APT F5
REGO PARK, NY 11374-3241
Phone number: 646-220-9183
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Mailing Address
Miss YELENA A SHAMALOVA ot
6485 SAUNDERS ST APT F5
REGO PARK, NY 11374-3241
Phone number: 646-220-9183
Copy
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