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1194022038
SUSAN LYNN PERSICO
BUFFALO, NY
NPI
1194022038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 000122-1)
Enumeration Date
2011-02-11
Last Update Date
2011-02-12
Business Address
Mrs. SUSAN LYNN PERSICO cota
2495 MAIN ST 234
BUFFALO, NY 14214-2152
Phone number: 716-836-5929
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Mailing Address
Mrs. SUSAN LYNN PERSICO cota
2495 MAIN STREET 234
BUFFALO, NY 14214
Phone number: 716-836-5929
Copy
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