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1255961785
SAMANTHA JOHNNYE MISETA
COLUMBIA, MD
NPI
1255961785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MD 08933)
Enumeration Date
2020-01-23
Last Update Date
2022-12-17
Business Address
SAMANTHA JOHNNYE MISETA
9256 BENDIX RD STE 105-106
COLUMBIA, MD 21045-1840
Phone number: 410-796-8499
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Mailing Address
SAMANTHA JOHNNYE MISETA
5384 SMOOTH MEADOW WAY UNIT 24
COLUMBIA, MD 21044-1869
Phone number:
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