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1134740194
HAILEY LOGAN
BROOKLYN, NY
NPI
1134740194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-30
Last Update Date
2020-04-30
Business Address
HAILEY LOGAN
121 DEKALB AVE
BROOKLYN, NY 11201-5425
Phone number: 718-250-6604
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Mailing Address
HAILEY LOGAN
121 DEKALB AVE
BROOKLYN, NY 11201-5425
Phone number: 718-250-6604
Copy
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