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1851805105
NICHOLAS KOITHAN
LACKAWANNA, NY
NPI
1851805105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2017-11-24
Last Update Date
2017-11-24
Business Address
NICHOLAS KOITHAN
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-828-9500
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Mailing Address
NICHOLAS KOITHAN
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number:
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