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1538607411
ETHAN MARTIN
SHELBY, NC
NPI
1538607411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P16848)
Enumeration Date
2017-02-10
Last Update Date
2017-02-10
Business Address
-- ETHAN MARTIN
1129 E MARION ST
SHELBY, NC 28150-4843
Phone number: 704-471-0001
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Mailing Address
-- ETHAN MARTIN
1129 E MARION ST
SHELBY, NC 28150-4843
Phone number: 704-471-0001
Copy
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