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1962251983
MUKUMAOY OLIMJONOVA
STATEN ISLAND, NY
NPI
1962251983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-05-13
Last Update Date
2024-05-13
Business Address
MUKUMAOY OLIMJONOVA
956 ROCKLAND AVE
STATEN ISLAND, NY 10314-7706
Phone number: 917-756-5222
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Mailing Address
MUKUMAOY OLIMJONOVA
956 ROCKLAND AVE
STATEN ISLAND, NY 10314-7706
Phone number: 917-756-5222
Copy
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