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1174725030
JAIME M. LOGAN
BUFFALO, NY
NPI
1174725030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 012443-1)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
-- JAIME M. LOGAN m.a.
50 E NORTH ST
BUFFALO, NY 14203-1002
Phone number: 716-885-8871
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Mailing Address
-- JAIME M. LOGAN m.a.
7086 TOWNLINE RD
DERBY, NY 14047-9623
Phone number: 716-627-5170
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