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Organization
PARTNERS IN HEALING
Active
Organization
PARTNERS IN HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL GAVIN GANNON RN,BC, BHSP (FOUNDER)
(716) 548-6190
Entity
Organization
Contact information
Practice address
229 MAIN ST, UPPER LEVEL, HAMBURG, NY 14075-4915
(716) 548-6190
Mailing address
159 PLEASANT AVE, HAMBURG, NY 14075-4827
(716) 548-6190
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
268088
NY
174H00000X
Health Educator
268088
NY
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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