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1174264097
TAMARA YAKUBOVA
RIVERHEAD, NY
NPI
1174264097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
TAMARA YAKUBOVA
1300 ROANOKE AVE
RIVERHEAD, NY 11901-2031
Phone number: 631-548-6000
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Mailing Address
TAMARA YAKUBOVA
1300 ROANOKE AVE
RIVERHEAD, NY 11901-2031
Phone number:
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