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1508045238
NORTH SHORE PEDORTHICS, LLC
LORAIN, OH
NPI
1508045238
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Entity Type
Organization
Authorized Contact
DEAN A. MASON
Single Member
440-989-2799
Organization Subpart ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: OH LO 228 LPED 029)
Enumeration Date
2007-10-30
Last Update Date
2015-07-14
Business Address
NORTH SHORE PEDORTHICS, LLC
4370 OBERLIN AVE SUITE B
LORAIN, OH 44053-2942
Phone number: 440-989-2799
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Mailing Address
NORTH SHORE PEDORTHICS, LLC
4370 OBERLIN AVE SUITE B
LORAIN, OH 44053-2942
Phone number: 440-989-2799
Copy
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DEAN MASON