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1053732693
NERIK SHAMALOV
JAMAICA, NY
NPI
1053732693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2013-12-28
Last Update Date
2013-12-28
Business Address
NERIK SHAMALOV
18616 80TH DR
JAMAICA, NY 11432-5805
Phone number: 917-515-0149
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Mailing Address
NERIK SHAMALOV
18616 80TH DR
JAMAICA, NY 11432-5805
Phone number: 917-515-0149
Copy
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