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1366296022
GRACE HENRY
LACKAWANNA, NY
NPI
1366296022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-04-17
Last Update Date
2024-04-17
Business Address
GRACE HENRY
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-289-1094
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Mailing Address
GRACE HENRY
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number:
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