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1316183874
STELLA YUSUPOVA
BAYSIDE, NY
NPI
1316183874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 016940-1)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
Ms. STELLA YUSUPOVA SLP
2901 216TH ST
BAYSIDE, NY 11360-2810
Phone number: 718-281-8947
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Mailing Address
Ms. STELLA YUSUPOVA SLP
2901 216TH ST
BAYSIDE, NY 11360-2810
Phone number: 718-281-8947
Copy
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