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1245771211
MALCOLM FORD
CANTON, OH
NPI
1245771211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT-4174)
Enumeration Date
2017-03-10
Last Update Date
2017-03-10
Business Address
-- MALCOLM FORD AT
4650 HILLS AND DALES RD NW
CANTON, OH 44708-6220
Phone number: 330-491-9675
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Mailing Address
-- MALCOLM FORD AT
4650 HILLS AND DALES RD NW
CANTON, OH 44708-6220
Phone number:
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