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1407820905
PETER M. KOEHNEKE
BUFFALO, NY
NPI
1407820905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 5077035)
Enumeration Date
2006-02-14
Last Update Date
2007-07-08
Business Address
Mr. PETER M. KOEHNEKE ATC
2001 MAIN ST
BUFFALO, NY 14208-1035
Phone number: 716-888-2954
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Mailing Address
Mr. PETER M. KOEHNEKE ATC
73 ALLENHURST RD
BUFFALO, NY 14214-1203
Phone number: 716-888-2954
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