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1033495700
NICOLE BAKOS
MORGANTOWN, WV
NPI
1033495700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV WV000779)
Enumeration Date
2011-10-26
Last Update Date
2011-10-26
Business Address
-- NICOLE BAKOS PTA
170 LAKEVIEW DR SUITE 2
MORGANTOWN, WV 26508-9284
Phone number: 304-594-1545
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Mailing Address
-- NICOLE BAKOS PTA
943 MAPLE DR
MORGANTOWN, WV 26505-2812
Phone number: 304-599-2515
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