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1215179379
IRINA KHAIMOV
BROOKLYN, NY
NPI
1215179379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 014194-1)
Enumeration Date
2009-04-02
Last Update Date
2009-04-02
Business Address
-- IRINA KHAIMOV slp
236 NEPTUNE AVE
BROOKLYN, NY 11235-6302
Phone number: 718-769-2698
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Mailing Address
-- IRINA KHAIMOV slp
7530 190TH ST
FRESH MEADOWS, NY 11366-1856
Phone number: 917-797-9354
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