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1346439049
GARY SHELTON
MELBOURNE, FL
NPI
1346439049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 13961)
Enumeration Date
2007-10-18
Last Update Date
2007-10-18
Business Address
-- GARY SHELTON PTA
606 E SHERIDAN RD
MELBOURNE, FL 32901-3227
Phone number: 321-727-0984
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Mailing Address
-- GARY SHELTON PTA
436 FRANKLIN ST
PADUCAH, KY 42003-0435
Phone number: 270-556-3842
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