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1174874564
KELLY O'NEILL FORTNER
BUFFALO, NY
NPI
1174874564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 011420)
Enumeration Date
2012-09-25
Last Update Date
2012-09-25
Business Address
Mrs. KELLY O'NEILL FORTNER MOTR/L
118 CHATHAM AVE
BUFFALO, NY 14216-3137
Phone number: 716-875-6963
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Mailing Address
Mrs. KELLY O'NEILL FORTNER MOTR/L
118 CHATHAM AVE
BUFFALO, NY 14216-3137
Phone number: 716-875-6963
Copy
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