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1588255905
MARINA MUSTAFINA
BROOKLYN, NY
NPI
1588255905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 3005095)
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
MARINA MUSTAFINA
405 81ST ST
BROOKLYN, NY 11209-3904
Phone number: 347-410-1483
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Mailing Address
MARINA MUSTAFINA
711 BRIGHTWATER CT APT 3J
BROOKLYN, NY 11235-6609
Phone number: 347-410-1483
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