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1811626419
RYAN DIVITA
EAST AMHERST, NY
NPI
1811626419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225500000X Specialist/Technologist
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
RYAN DIVITA Teacher
26 SAN FERNANDO LN
EAST AMHERST, NY 14051-2234
Phone number: 716-472-1289
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Mailing Address
RYAN DIVITA Teacher
153 BRAMBLE CT
WILLIAMSVILLE, NY 14221-1715
Phone number:
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