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1063661312
RAQUEL MARIE WISE
ALLIANCE, OH
NPI
1063661312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA - 07048)
Enumeration Date
2008-09-11
Last Update Date
2008-09-13
Business Address
Miss RAQUEL MARIE WISE PTA
2484 W STATE ST
ALLIANCE, OH 44601-5608
Phone number: 330-829-2338
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Mailing Address
Miss RAQUEL MARIE WISE PTA
4645 BELPAR ST NW
CANTON, OH 44718-3602
Phone number: 330-493-4210
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