TIMOTHY BLANDFORD

ELMIRA, NY
NPI1831621572
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: NY  0266L01)
Enumeration Date2017-03-31
Last Update Date2017-03-31
Business Address
-- TIMOTHY BLANDFORD
1149 SULLIVAN ST
ELMIRA, NY 14901
Phone number: 607-733-7661
Mailing Address
-- TIMOTHY BLANDFORD
1149 SULLIVAN ST
ELMIRA, NY 14901-1670
Phone number: 607-733-7661
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