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1083277222
BREANNA MARIE KALANISH
FAIRMONT, WV
NPI
1083277222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C2264)
Enumeration Date
2019-04-14
Last Update Date
2019-04-14
Business Address
Miss BREANNA MARIE KALANISH COTA/L
1543 COUNTRY CLUB RD
FAIRMONT, WV 26554-1306
Phone number: 304-363-2273
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Mailing Address
Miss BREANNA MARIE KALANISH COTA/L
20909 PLEASANT VIEW LN SW
RAWLINGS, MD 21557-2508
Phone number: 301-357-0376
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