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1194200915
AARON L ELLENTUCK
LAUDERHILL, FL
NPI
1194200915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL PTA28807)
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
AARON L ELLENTUCK PTA
4988 N UNIVERSITY DR
LAUDERHILL, FL 33351-5748
Phone number: 954-746-7230
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Mailing Address
AARON L ELLENTUCK PTA
1110 SHAWNEE RD
LIMA, OH 45805-3529
Phone number: 419-221-6723
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