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1568060739
CARISSA JOY ANTEZANA
LEONARDTOWN, MD
NPI
1568060739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MD A02694)
Enumeration Date
2020-10-11
Last Update Date
2020-10-11
Business Address
Mrs. CARISSA JOY ANTEZANA PTA
25480 POINT LOOKOUT RD STE 200
LEONARDTOWN, MD 20650-3801
Phone number: 240-256-3711
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Mailing Address
Mrs. CARISSA JOY ANTEZANA PTA
25480 POINT LOOKOUT RD STE 200
LEONARDTOWN, MD 20650-3801
Phone number: 240-256-3711
Copy
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