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1548003551
ISAIAH SHANE LEONARD
HURRICANE, WV
NPI
1548003551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C2469)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
ISAIAH SHANE LEONARD
179 STATION PL
HURRICANE, WV 25526-6578
Phone number: 304-760-6300
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Mailing Address
ISAIAH SHANE LEONARD
179 STATION PL
HURRICANE, WV 25526-6578
Phone number: 304-760-6300
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