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1073002630
SHELBY TYRUS ETHRIDGE
CINCINNATI, OH
NPI
1073002630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OH r8859300)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
SHELBY TYRUS ETHRIDGE RT (R) (CT)
3200 VINE ST
CINCINNATI, OH 45220-2213
Phone number: 513-861-3100
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Mailing Address
SHELBY TYRUS ETHRIDGE RT (R) (CT)
3355 BAUERWOOD DR
CINCINNATI, OH 45251-2911
Phone number: 513-207-2111
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