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1235630161
IZOLDA IZMAYLOVA
MARLBORO, NJ
NPI
1235630161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F308574-1)
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
IZOLDA IZMAYLOVA
41 EAGLE RD
MARLBORO, NJ 07746-1810
Phone number: 718-283-6000
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Mailing Address
IZOLDA IZMAYLOVA
41 EAGLE RD
MARLBORO, NJ 07746-1810
Phone number: 718-790-0815
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