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1235573346
KELLY ELAINE FODO
PERRYSBURG, OH
NPI
1235573346
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Former Name
KELLY ELAINE BURGARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH 014026)
Enumeration Date
2013-04-19
Last Update Date
2015-10-16
Business Address
-- KELLY ELAINE FODO DPT
27511 HOLIDAY LN STE 105
PERRYSBURG, OH 43551-5397
Phone number: 419-873-3488
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Mailing Address
-- KELLY ELAINE FODO DPT
27511 HOLIDAY LN STE 105
PERRYSBURG, OH 43551-5397
Phone number: 419-873-3488
Copy
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