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1154050847
NYISHA CUSTIS
SALISBURY, MD
NPI
1154050847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MD A03054)
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
NYISHA CUSTIS
100 E CARROLL ST
SALISBURY, MD 21801-5422
Phone number: 410-546-6400
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Mailing Address
NYISHA CUSTIS
305A UNION AVE
SALISBURY, MD 21801-3659
Phone number: 443-366-9162
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