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1285461434
JOHNETHEN TRAVIS SPICER
BUFFALO, NY
NPI
1285461434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-09-19
Last Update Date
2024-09-19
Business Address
JOHNETHEN TRAVIS SPICER
1050 NIAGARA ST
BUFFALO, NY 14213-2001
Phone number: 716-856-2587
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Mailing Address
JOHNETHEN TRAVIS SPICER
1050 NIAGARA ST
BUFFALO, NY 14213-2001
Phone number:
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