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1235474131
IZABELLA YUSUPOVA
JAMAICA, NY
NPI
1235474131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 306271)
Enumeration Date
2012-12-03
Last Update Date
2012-12-04
Business Address
-- IZABELLA YUSUPOVA NP
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3000
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Mailing Address
-- IZABELLA YUSUPOVA NP
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3000
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