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1568531374
JOHN PAZ
ITHACA, NY
NPI
1568531374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 12469)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
-- JOHN PAZ CASAC
201 E GREEN ST
ITHACA, NY 14850-5635
Phone number: 607-274-6288
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Mailing Address
-- JOHN PAZ CASAC
107 WESTHAVEN RD
ITHACA, NY 14850-3098
Phone number: 607-319-0860
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