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1790024156
MICHELLE LEE KIERNOZEK
LATHAM, NY
NPI
1790024156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 017347)
Enumeration Date
2013-02-05
Last Update Date
2013-12-27
Business Address
Miss MICHELLE LEE KIERNOZEK OTR/L
623 NEW LOUDON RD
LATHAM, NY 12110-4031
Phone number: 518-782-1178
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Mailing Address
Miss MICHELLE LEE KIERNOZEK OTR/L
623 NEW LOUDON ROAD
LOUDONVILLE, NY 12110-2602
Phone number: 518-782-1178
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