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1932794211
DANIEL PENQUE
BUFFALO, NY
NPI
1932794211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-03-08
Last Update Date
2021-03-19
Business Address
DANIEL PENQUE
699 HERTEL AVE STE 350
BUFFALO, NY 14207-2341
Phone number: 716-831-1977
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Mailing Address
DANIEL PENQUE
55 DODGE RD
GETZVILLE, NY 14068-1205
Phone number: 716-831-2700
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