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1285915140
GERARD SANTOS EUSEBIO
CANTON, OH
NPI
1285915140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA-5100)
Enumeration Date
2011-09-06
Last Update Date
2011-09-06
Business Address
-- GERARD SANTOS EUSEBIO PTA
800 MARKET AVE N
CANTON, OH 44702-1083
Phone number: 330-430-2119
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Mailing Address
-- GERARD SANTOS EUSEBIO PTA
800 MARKET AVE N
CANTON, OH 44702-1083
Phone number: 330-430-2119
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