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Individual

JENNIFER LYNN DICKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 446-1244
Mailing address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 446-1244

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
008714-1
NY

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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