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1033613161
GAVIN SHANNON
NORTH CANTON, OH
NPI
1033613161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA011265)
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
GAVIN SHANNON PTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8200
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Mailing Address
GAVIN SHANNON PTA
52 N MAIN ST
UTICA, OH 43080-7704
Phone number: 740-641-7761
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