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1750954376
MALLERIE JANE BLEVINS
CHARLESTON, WV
NPI
1750954376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WV 244)
Enumeration Date
2021-07-21
Last Update Date
2021-07-21
Business Address
MS. MALLERIE JANE BLEVINS OTR
302 CEDAR RIDGE RD
CHARLESTON, WV 25320-9502
Phone number: 304-208-6582
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Mailing Address
MS. MALLERIE JANE BLEVINS OTR
646 FLORIDA ST
MILTON, WV 25541-1412
Phone number: 304-208-6582
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