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Organization
KUT LIFE
Active
Organization
KUT LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUDUKE TATE BARBER (OWNER)
(716) 816-8144
Entity
Organization
Contact information
Practice address
474 HEWITT AVE, BUFFALO, NY 14215-1700
(716) 424-0687
Mailing address
474 HEWITT AVE, BUFFALO, NY 14215-1700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16TA4078144
NY
Other
Enumeration date
03/25/2018
Last updated
03/25/2018
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