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1417126624
RANDY SHINE
BUFFALO, NY
NPI
1417126624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-02-22
Last Update Date
2008-02-22
Business Address
Mr. RANDY SHINE
430 NIAGARA STREET BLENDED CASE MANAGEMENT
BUFFALO, NY 14201
Phone number: 716-856-2587
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Mailing Address
Mr. RANDY SHINE
254 FRANKLIN STREET LAKE SHORE BEHAVIORAL HEALTH
BUFFALO, NY 14202
Phone number: 716-842-0440
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