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1952745838
JIBRAIL DAVIS
BROOKLYN, NY
NPI
1952745838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 0082071)
Enumeration Date
2013-04-23
Last Update Date
2013-04-23
Business Address
-- JIBRAIL DAVIS COTA
3505 AVENUE S
BROOKLYN, NY 11234-4827
Phone number: 718-787-1772
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Mailing Address
-- JIBRAIL DAVIS COTA
13015 223RD ST
LAURELTON, NY 11413-1243
Phone number: 718-785-3911
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