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Individual
VIOLETTA IFRAIMOVA
Active
Individual
VIOLETTA IFRAIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATOR
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
2613983
NY
174400000X
Specialist
Primary
2613983
NY
Other
Enumeration date
06/08/2016
Last updated
07/13/2016
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