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1942616230
DEIDRE MEDINA
BUFFALO, NY
NPI
1942616230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 017782)
Enumeration Date
2014-07-07
Last Update Date
2014-07-07
Business Address
Mrs. DEIDRE MEDINA L.M.T.
120 ELLER AVE
BUFFALO, NY 14211-2115
Phone number: 716-292-6113
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Mailing Address
Mrs. DEIDRE MEDINA L.M.T.
120 ELLER AVE
BUFFALO, NY 14211-2115
Phone number: 716-292-6113
Copy
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