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1417047473
KEITH HOFFMAN
BATH, NY
NPI
1417047473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
KEITH HOFFMAN
115 LIBERTY ST
BATH, NY 14810-1508
Phone number: 607-776-6577
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Mailing Address
KEITH HOFFMAN
6 WIGHTMAN AVE
HORNELL, NY 14843-1119
Phone number:
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