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1598015588
SELINA NICOLE KELLISON
OSWEGO, NY
NPI
1598015588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 007573-1)
Enumeration Date
2012-09-17
Last Update Date
2012-09-17
Business Address
Mrs. SELINA NICOLE KELLISON PTA
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
Mrs. SELINA NICOLE KELLISON PTA
329 MAPLE ST APT. 24
OSWEGO, NY 13126-3459
Phone number: 315-250-7560
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