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1710712120
OSAZE BATHOLOMEW IBHAWA
JAMESTOWN, NY
NPI
1710712120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NY 014352)
Enumeration Date
2024-09-05
Last Update Date
2024-10-26
Business Address
OSAZE BATHOLOMEW IBHAWA
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2608
Phone number: 347-781-4214
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Mailing Address
OSAZE BATHOLOMEW IBHAWA
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2608
Phone number: 716-322-9088
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