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1053925115
JENNIFER KHAYUMOV
WHITESTONE, NY
NPI
1053925115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 030022-01)
Enumeration Date
2020-09-04
Last Update Date
2020-09-04
Business Address
JENNIFER KHAYUMOV MA
15220 11TH AVE
WHITESTONE, NY 11357-1999
Phone number: 718-767-8810
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Mailing Address
JENNIFER KHAYUMOV MA
19831 51ST AVE
FRESH MEADOWS, NY 11365-1341
Phone number: 718-530-5413
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