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1063073179
INESSA FATAKHOVA
BROOKLYN, NY
NPI
1063073179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 0287101)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
Mrs. INESSA FATAKHOVA
49 MONTROSE AVE
BROOKLYN, NY 11206-2580
Phone number: 718-473-3808
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Mailing Address
Mrs. INESSA FATAKHOVA
6411 99TH ST APT 514
REGO PARK, NY 11374-2677
Phone number: 646-464-2647
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