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1225690878
CODY ASHTON RYAN BOWSER
LIVERPOOL, NY
NPI
1225690878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-03
Last Update Date
2019-07-03
Business Address
CODY ASHTON RYAN BOWSER
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088-6285
Phone number: 315-453-3911
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Mailing Address
CODY ASHTON RYAN BOWSER
79 GLENRIDGE RD
GLENVILLE, NY 12302-4523
Phone number:
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