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1821781451
KANJO EDRIS
MORGANTOWN, WV
NPI
1821781451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV PT002695)
Enumeration Date
2023-05-30
Last Update Date
2023-05-30
Business Address
KANJO EDRIS DPT
5007 MID ATLANTIC DR
MORGANTOWN, WV 26508-4298
Phone number: 394-296-9898
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Mailing Address
KANJO EDRIS DPT
5007 MID ATLANTIC DR
MORGANTOWN, WV 26508-4298
Phone number: 394-296-9898
Copy
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