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1134956972
LEO MALONE
BUFFALO, NY
NPI
1134956972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 001547-01)
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
Mr. LEO MALONE OTA
400 FOREST AVE
BUFFALO, NY 14213-1207
Phone number: 716-816-2992
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Mailing Address
Mr. LEO MALONE OTA
1303 SHERWOOD AVE
NORTH TONAWANDA, NY 14120-3520
Phone number: 716-816-2992
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