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Individual

MRS. LEANNE MARY OLDENBROOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
495 SKINNERSVILLE RD, AMHERST, NY 14228-2502
(716) 864-1194
Mailing address
14 CONANT DR, TONAWANDA, NY 14223-2609
(716) 864-1194

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
178804378
DUNS
Enumeration date
04/06/2010
Last updated
04/06/2010
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