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1184857286
GARY RUSSELL HALES
BOWLING GREEN, OH
NPI
1184857286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 07005)
Enumeration Date
2009-08-24
Last Update Date
2009-08-24
Business Address
Mr. GARY RUSSELL HALES PTA
1514 CARDINAL RD
BOWLING GREEN, OH 43402-8821
Phone number: 435-724-0475
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Mailing Address
Mr. GARY RUSSELL HALES PTA
1514 CARDINAL RD
BOWLING GREEN, OH 43402-8821
Phone number:
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