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1992199582
ELLADA YAKUBOVA
REGO PARK, NY
NPI
1992199582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 019381)
Enumeration Date
2015-03-23
Last Update Date
2015-11-09
Business Address
-- ELLADA YAKUBOVA
9701 66TH AVE
REGO PARK, NY 11374-4245
Phone number: 718-275-5200
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Mailing Address
-- ELLADA YAKUBOVA
9701 66TH AVE
REGO PARK, NY 11374-4245
Phone number: 718-275-5200
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