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1184897563
KEVIN HANSON
BUFFALO, NY
NPI
1184897563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
Mr. KEVIN HANSON
951 NIAGARA STREET ADOLESCENT PROGRAM
BUFFALO, NY 14213
Phone number: 716-818-7195
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Mailing Address
Mr. KEVIN HANSON
254 FRANKLIN STREET LAKE SHORE BEHAVIORAL HEALTH, INC
BUFFALO, NY 14202
Phone number: 716-842-0440
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