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1184485104
MELANIE KUSAKAVITCH
KEESLER AFB, MS
NPI
1184485104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-01-17
Last Update Date
2024-01-17
Business Address
MELANIE KUSAKAVITCH DO
301 FISHER ST RM 5A127
KEESLER AFB, MS 39534-2508
Phone number: 228-376-5571
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Mailing Address
MELANIE KUSAKAVITCH DO
11 OSBORNE DR
PITTSTON, PA 18640-3752
Phone number: 570-760-6896
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