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1164578548
DIANE M LEWIS
BUFFALO, NY
NPI
1164578548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: 13474)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Ms. DIANE M LEWIS CTRS
462 GRIDER ST
BUFFALO, NY 14215-3021
Phone number: 716-898-3574
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Mailing Address
Ms. DIANE M LEWIS CTRS
3903 BOWEN RD #54
LANCASTER, NY 14086-9679
Phone number: 716-681-7799
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