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1730431891
EDWARD YUSUPOV
BROOKLYN, NY
NPI
1730431891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: NY 008658)
Enumeration Date
2012-10-12
Last Update Date
2012-10-12
Business Address
EDWARD YUSUPOV
4905 BEACH 49TH ST
BROOKLYN, NY 11224-1105
Phone number: 718-648-3200
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Mailing Address
EDWARD YUSUPOV
4905 BEACH 49TH ST
BROOKLYN, NY 11224-1105
Phone number: 718-648-3200
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