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Individual
DIANA YAKUBOVA
Active
Individual
DIANA YAKUBOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
309948
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
309948
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406659-01
NY
Other
Enumeration date
10/29/2020
Last updated
06/08/2026
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