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1780690859
MELISSA JANE STAVRAKIS
VIENNA, WV
NPI
1780690859
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Former Name
MELISSA JANE BILLY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 002359)
Enumeration Date
2006-07-31
Last Update Date
2019-05-24
Business Address
MELISSA JANE STAVRAKIS DPT, OCS
1605 GRAND CENTRAL AVE
VIENNA, WV 26105-1081
Phone number: 304-295-7290
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Mailing Address
MELISSA JANE STAVRAKIS DPT, OCS
1605 GRAND CENTRAL AVE
VIENNA, WV 26105-1081
Phone number: 304-295-7290
Copy
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