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1134693633
ELISE ROMAN
KINGWOOD, WV
NPI
1134693633
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Former Name
ELISE AUGUSTINE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WV 1981)
Enumeration Date
2019-01-17
Last Update Date
2019-01-17
Business Address
ELISE ROMAN OT
150 MEMORIAL DR
KINGWOOD, WV 26537-1141
Phone number: 304-329-3908
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Mailing Address
ELISE ROMAN OT
150 MEMORIAL DR
KINGWOOD, WV 26537-1141
Phone number: 304-329-3908
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