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1417447731
YASHUO FAZILOVA
FLUSHING, NY
NPI
1417447731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: NY 748960)
Enumeration Date
2018-05-11
Last Update Date
2018-05-11
Business Address
Miss YASHUO FAZILOVA RN
144-60 GRAVETT ROAD APT. 2C
FLUSHING, NY 11367
Phone number: 347-418-2565
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Mailing Address
Miss YASHUO FAZILOVA RN
14460 GRAVETT RD APT 2C
FLUSHING, NY 11367-1307
Phone number: 347-418-2565
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