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1376854331
LARISA GAVRIELOVA
KEW GARDENS, NY
NPI
1376854331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 016324)
Enumeration Date
2010-06-24
Last Update Date
2010-06-24
Business Address
-- LARISA GAVRIELOVA
8315 LEFFERTS BLVD APT 4N
KEW GARDENS, NY 11415-2541
Phone number: 718-441-1651
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Mailing Address
-- LARISA GAVRIELOVA
8315 LEFFERTS BLVD APT 4N
KEW GARDENS, NY 11415-2541
Phone number: 718-441-1651
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