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1043857956
IMANI JORDAN BUSBY
BROOKLYN, NY
NPI
1043857956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2019-12-10
Last Update Date
2019-12-27
Business Address
IMANI JORDAN BUSBY
118 SAINT NICHOLAS AVE
BROOKLYN, NY 11237-3491
Phone number: 718-552-2990
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Mailing Address
IMANI JORDAN BUSBY
68 MACDOUGAL ST APT 3A
BROOKLYN, NY 11233-2673
Phone number: 516-770-4303
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