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Marisa Aleece Callahan

NPI Registration Record

Provider / OrganizationNPIDate Certified
MARISA ALEECE CALLAHAN11145294682020-11-15
Entity TypeIndividual
Provider Name Marisa Aleece Callahan
Practice Office Address104 JAVIT CT
AUSTINTOWN, OH US
Practice Office Telephone3307974050
Mailing Address104 JAVIT CT
AUSTINTOWN, OH 445152439 US
Business Telephone3307974050
HPT Codes
CodeLicense NoState
171M00000X PRIMARY
OPI Codes

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