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1104442458
SOUTH STREET HEALTH SERVICES FAMILY HEALTH AND PSYCHIATRY NPS PLLC
LOCKPORT, NY
NPI
1104442458
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Entity Type
Organization
Authorized Contact
DAVID MARTIN JULIEN
Owner
716-727-0099
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2020-06-23
Last Update Date
2020-06-23
Business Address
SOUTH STREET HEALTH SERVICES FAMILY HEALTH AND PSYCHIATRY NPS PLLC
8-12 SOUTH STREET
LOCKPORT, NY 14094-1409
Phone number: 716-797-0099
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Mailing Address
SOUTH STREET HEALTH SERVICES FAMILY HEALTH AND PSYCHIATRY NPS PLLC
17 KINGSTON CIR
LOCKPORT, NY 14094-5606
Phone number: 716-727-0099
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