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Individual

ANNE JANUARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
524 8TH ST, BROOKLYN, NY 11215-4201
(718) 965-4428
Mailing address
524 8TH ST, BROOKLYN, NY 11215-4201
(718) 965-4428

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
09/27/2010
Last updated
09/27/2010
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