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1194292128
PAUL SHELTON
BUFFALO, NY
NPI
1194292128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 21290)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
PAUL SHELTON
1280 MAIN ST
BUFFALO, NY 14209-1912
Phone number: 716-884-5797
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Mailing Address
PAUL SHELTON
227 THORN AVE
ORCHARD PARK, NY 14127-2600
Phone number: 716-662-2040
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