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1912225905
TAMARA FUZAYLOVA
FOREST HILLS, NY
NPI
1912225905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: NY 013923-1)
Enumeration Date
2010-05-14
Last Update Date
2010-05-14
Business Address
-- TAMARA FUZAYLOVA PA
10245 62ND RD APT 4K
FOREST HILLS, NY 11375-1019
Phone number: 718-607-1009
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Mailing Address
-- TAMARA FUZAYLOVA PA
10245 62ND RD APT 4K
FOREST HILLS, NY 11375-1019
Phone number: 718-607-1009
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