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1013546175
IVAN COLON ORTIZ
BUFFALO, NY
NPI
1013546175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2020-04-02
Last Update Date
2020-04-02
Business Address
IVAN COLON ORTIZ
951 NIAGARA ST
BUFFALO, NY 14213-2116
Phone number: 716-884-0700
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Mailing Address
IVAN COLON ORTIZ
951 NIAGARA ST
BUFFALO, NY 14213-2116
Phone number: 716-884-0700
Copy
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