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1144825357
KRISTY ANN MCKISIC
FAIRMONT, WV
NPI
1144825357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
KRISTY ANN MCKISIC
1036 SPEEDWAY AVE STE 2
FAIRMONT, WV 26554-4479
Phone number: 614-487-8758
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Mailing Address
KRISTY ANN MCKISIC
1036 SPEEDWAY AVE STE 2
FAIRMONT, WV 26554-4479
Phone number: 614-487-8758
Copy
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