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1891034112
KRISTIE LYNN KOMOROWSKI
BRIDGEPORT, WV
NPI
1891034112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
(Licence: WV SLP-0942)
Enumeration Date
2013-02-06
Last Update Date
2013-02-06
Business Address
Mrs. KRISTIE LYNN KOMOROWSKI MS,CCC/SLP
415 BENEDUM DR
BRIDGEPORT, WV 26330-1503
Phone number: 304-842-9887
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Mailing Address
Mrs. KRISTIE LYNN KOMOROWSKI MS,CCC/SLP
415 BENEDUM DR
BRIDGEPORT, WV 26330-1503
Phone number: 304-842-9887
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