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1134504707
TYMIKA RUSSELL
JAMAICA, NY
NPI
1134504707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 835902)
Enumeration Date
2015-07-24
Last Update Date
2015-07-24
Business Address
-- TYMIKA RUSSELL M.S.
11948 145TH ST
JAMAICA, NY 11436-1524
Phone number: 347-968-0348
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Mailing Address
-- TYMIKA RUSSELL M.S.
11948 145TH ST
JAMAICA, NY 11436-1524
Phone number:
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