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1740771542
MELISSA MCKISSEN
DETROIT, MI
NPI
1740771542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201007033)
Enumeration Date
2018-05-29
Last Update Date
2018-05-29
Business Address
MELISSA MCKISSEN OTRL
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-1100
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Mailing Address
MELISSA MCKISSEN OTRL
233 WOODLAWN AVE
ROYAL OAK, MI 48073-2683
Phone number: 734-678-0281
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