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1073950929
IRINA M BORUKHOVA
BROOKLYN, NY
NPI
1073950929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 574649111)
Enumeration Date
2013-06-02
Last Update Date
2013-06-02
Business Address
MISS IRINA M BORUKHOVA
1178 E 13TH ST
BROOKLYN, NY 11230-4818
Phone number: 718-252-1449
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Mailing Address
MISS IRINA M BORUKHOVA
1178 E 13TH ST
BROOKLYN, NY 11230-4818
Phone number: 718-252-1449
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