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1770714768
DARYN MARIE SHAMBLIN
HURRICANE, WV
NPI
1770714768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV 1700)
Enumeration Date
2009-08-07
Last Update Date
2009-08-07
Business Address
-- DARYN MARIE SHAMBLIN COTA/L
590 POPLAR FORK RD
HURRICANE, WV 25526-9434
Phone number: 304-757-7826
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Mailing Address
-- DARYN MARIE SHAMBLIN COTA/L
507 FRAME RD APT 8
ELKVIEW, WV 25071-9294
Phone number: 304-550-7387
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