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1548793482
JOHNNY COLE
ROCHESTER, NY
NPI
1548793482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 10911)
Enumeration Date
2017-04-07
Last Update Date
2017-04-07
Business Address
-- JOHNNY COLE CASAC
24 JONES AVE
ROCHESTER, NY 14608-1252
Phone number: 585-719-8523
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Mailing Address
-- JOHNNY COLE CASAC
24 JONES AVE
ROCHESTER, NY 14608-1252
Phone number: 585-719-8523
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