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1538539549
TATSIANA SIANIUTA
PHILADELPHIA, PA
NPI
1538539549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: NV 20120677543-0615)
Enumeration Date
2015-10-02
Last Update Date
2015-10-02
Business Address
-- TATSIANA SIANIUTA
11880 BUSTLETON AVE STE 201
PHILADELPHIA, PA 19116-2538
Phone number: 267-357-5247
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Mailing Address
-- TATSIANA SIANIUTA
11880 BUSTLETON AVE STE 201
PHILADELPHIA, PA 19116-2538
Phone number:
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