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1912745290
TEALE LYNN DIDOMENICO
ORCHARD PARK, NY
NPI
1912745290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NY 409218754)
Enumeration Date
2024-07-19
Last Update Date
2024-07-24
Business Address
TEALE LYNN DIDOMENICO
3176 ABBOTT RD
ORCHARD PARK, NY 14127-1069
Phone number: 716-822-2117
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Mailing Address
TEALE LYNN DIDOMENICO
3176 ABBOTT RD
ORCHARD PARK, NY 14127-1069
Phone number: 716-822-2117
Copy
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