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1215366232
TREVOR BUCHANAN
MALONE, NY
NPI
1215366232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-11-12
Last Update Date
2013-11-12
Business Address
-- TREVOR BUCHANAN
209 PARK ST
MALONE, NY 12953-1228
Phone number: 518-483-2070
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Mailing Address
-- TREVOR BUCHANAN
209 PARK ST
MALONE, NY 12953-1228
Phone number: 518-483-2070
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