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1518609833
JARED ELLIS SHATKIN
BUFFALO, NY
NPI
1518609833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
JARED ELLIS SHATKIN
2500 KENSINGTON AVE
BUFFALO, NY 14226-4927
Phone number: 716-553-4003
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Mailing Address
JARED ELLIS SHATKIN
89 BERESFORD CT # 2007
BUFFALO, NY 14221-5955
Phone number: 716-310-0322
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