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1174884597
KENT KELLER
MEDINA, OH
NPI
1174884597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA01677)
Enumeration Date
2012-06-01
Last Update Date
2012-06-01
Business Address
KENT KELLER PTA
727 E REAGAN PKWY APT 215
MEDINA, OH 44256-1246
Phone number: 330-690-9021
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Mailing Address
KENT KELLER PTA
727 E. REAGAN PARKWAY, APT 215
MEDINA, OH 44256
Phone number: 330-690-9021
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