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1215698865
JUSTIN FRANCIS WHITE
OGDENSBURG, NY
NPI
1215698865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-01-05
Last Update Date
2022-01-17
Business Address
Mr. JUSTIN FRANCIS WHITE AM
1003 PARK ST
OGDENSBURG, NY 13669-3911
Phone number: 518-481-1251
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Mailing Address
Mr. JUSTIN FRANCIS WHITE AM
275 BALLANTINE RD
HEUVELTON, NY 13654-3303
Phone number: 315-854-6975
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