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1295164051
CARISSA ALEXANDER
MILWAUKEE, WI
NPI
1295164051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007123)
Enumeration Date
2013-11-02
Last Update Date
2015-06-23
Business Address
-- CARISSA ALEXANDER
111 W MICHIGAN ST
MILWAUKEE, WI 53203-2903
Phone number: 616-261-3960
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Mailing Address
-- CARISSA ALEXANDER
8011 108TH ST SE
MIDDLEVILLE, MI 49333-9302
Phone number: 616-540-2140
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