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1740764695
BRYAN BUCHANAN
LACKAWANNA, NY
NPI
1740764695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-09-17
Last Update Date
2018-09-17
Business Address
BRYAN BUCHANAN
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-828-9699
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Mailing Address
BRYAN BUCHANAN
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-828-9699
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