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1487125514
MISTY MARIE KOSYDAR
GREENVILLE, NC
NPI
1487125514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-12-16
Last Update Date
2022-04-21
Business Address
MISTY MARIE KOSYDAR
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-744-4184
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Mailing Address
MISTY MARIE KOSYDAR
4333 SE 16TH AVE
PORTLAND, OR 97202-3937
Phone number: 541-270-8014
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