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1518719087
JORGE LUIS ACEVEDO
BUFFALO, NY
NPI
1518719087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 33728)
Enumeration Date
2024-04-05
Last Update Date
2024-04-19
Business Address
JORGE LUIS ACEVEDO
430 NIAGARA ST
BUFFALO, NY 14201-1886
Phone number: 716-853-1335
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Mailing Address
JORGE LUIS ACEVEDO
430 NIAGARA ST
BUFFALO, NY 14201-1886
Phone number: 716-853-1335
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