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1891058657
ANTONINA YUSHUVAYEVA
FRESH MEADOWS, NY
NPI
1891058657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
252Y00000X Early Intervention Provider Agency
Enumeration Date
2012-06-18
Last Update Date
2015-11-06
Business Address
-- ANTONINA YUSHUVAYEVA MSED
7150 160TH ST # 1F
FRESH MEADOWS, NY 11365-4126
Phone number: 646-732-8319
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Mailing Address
-- ANTONINA YUSHUVAYEVA MSED
7150 160TH ST # 1F
FRESH MEADOWS, NY 11365-4126
Phone number: 646-732-8319
Copy
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