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1295977973
YAN YUSUPOV
REGO PARK, NY
NPI
1295977973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 62031272)
Enumeration Date
2009-03-27
Last Update Date
2012-09-18
Business Address
-- YAN YUSUPOV P.T.
97-35 63 DRIVE
REGO PARK, NY 11374-2229
Phone number: 718-459-2771
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Mailing Address
-- YAN YUSUPOV P.T.
9735 63RD DR
REGO PARK, NY 11374-2229
Phone number:
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