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1669220737
RAYA N/A YUSUPOVA
FLUSHING, NY
NPI
1669220737
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Former Name
RAISA YUSUPOVA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 2762567)
Enumeration Date
2024-05-13
Last Update Date
2024-11-13
Business Address
RAYA N/A YUSUPOVA FNP
15039 77TH AVE
FLUSHING, NY 11367-3125
Phone number: 347-993-3339
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Mailing Address
RAYA N/A YUSUPOVA FNP
15039 77TH AVE
FLUSHING, NY 11367-3125
Phone number: 347-993-3339
Copy
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