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1003968397
KENNETH L DZIALAK
BUFFALO, NY
NPI
1003968397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 006444-1)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
Mr. KENNETH L DZIALAK COTA
462 GRIDER ST
BUFFALO, NY 14215-3021
Phone number: 716-898-3575
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Mailing Address
Mr. KENNETH L DZIALAK COTA
3460 STONY POINT RD
GRAND ISLAND, NY 14072-1129
Phone number: 716-773-6694
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