KALISSA BANNISTER

CHARLESTON, WV
NPI1740744994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-01-22
Last Update Date2019-01-22
Business Address
KALISSA BANNISTER
408 JERICK CIR
CHARLESTON, WV 25302-4470
Phone number: 304-881-1186
Mailing Address
KALISSA BANNISTER
408 JERICK CIR
CHARLESTON, WV 25302-4470
Phone number:
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