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1285399931
MILLICENT ROSCENNE ATIENZA MAULEON
BUCKHANNON, WV
NPI
1285399931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: WV 004162)
Enumeration Date
2021-11-07
Last Update Date
2021-11-07
Business Address
MILLICENT ROSCENNE ATIENZA MAULEON
21 E MAIN ST
BUCKHANNON, WV 26201-2909
Phone number: 304-473-6802
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Mailing Address
MILLICENT ROSCENNE ATIENZA MAULEON
53 SIOUX DR
BUCKHANNON, WV 26201-1242
Phone number: 304-384-0753
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