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1548630114
TABATHA FAVORS
BUFFALO, NY
NPI
1548630114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 015551-1)
Enumeration Date
2015-09-25
Last Update Date
2015-09-25
Business Address
-- TABATHA FAVORS
904 HUMBOLDT PKWY
BUFFALO, NY 14211-1243
Phone number: 716-507-6515
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Mailing Address
-- TABATHA FAVORS
904 HUMBOLDT PKWY
BUFFALO, NY 14211-1243
Phone number: 716-507-6515
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