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1598865214
LYNN BOB
BATH, NY
NPI
1598865214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 17515)
Enumeration Date
2006-09-23
Last Update Date
2007-07-08
Business Address
-- LYNN BOB
115 LIBERTY ST
BATH, NY 14810-1508
Phone number: 607-776-6577
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Mailing Address
-- LYNN BOB
8 S ELM ST
CANISTEO, NY 14823-1312
Phone number: 607-698-2165
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