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1104160548
MARK H NELLIS
ASHTABULA, OH
NPI
1104160548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 07511)
Enumeration Date
2012-11-26
Last Update Date
2012-11-26
Business Address
-- MARK H NELLIS LPTA
2025 E 42ND ST
ASHTABULA, OH 44004-6048
Phone number: 440-228-0658
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Mailing Address
-- MARK H NELLIS LPTA
2025 E 42ND ST
ASHTABULA, OH 44004-6048
Phone number:
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