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1700541588
OLEKSANDRA FANTA
BROOKLYN, NY
NPI
1700541588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2021-11-05
Last Update Date
2021-11-05
Business Address
Miss OLEKSANDRA FANTA
1651 CONEY ISLAND AVE
BROOKLYN, NY 11230-5849
Phone number: 718-998-1415
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Mailing Address
Miss OLEKSANDRA FANTA
1303 ARDEN AVE
STATEN ISLAND, NY 10312-4915
Phone number: 917-626-1476
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