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1528306560
ILHA KOSTYUCHENKO
JACKSON HEIGHTS, NY
NPI
1528306560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 641167)
Enumeration Date
2013-01-25
Last Update Date
2013-01-25
Business Address
-- ILHA KOSTYUCHENKO
3440 78TH ST APT 2C
JACKSON HEIGHTS, NY 11372-2570
Phone number: 646-732-9613
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Mailing Address
-- ILHA KOSTYUCHENKO
3440 78TH ST APT 2C
JACKSON HEIGHTS, NY 11372-2570
Phone number: 646-732-9613
Copy
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