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1619243466
DESIREE LYNN MAXON
BOARDMAN, OH
NPI
1619243466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 07259)
Enumeration Date
2012-03-27
Last Update Date
2012-03-27
Business Address
Ms. DESIREE LYNN MAXON PTA
8064 SOUTH AVE
BOARDMAN, OH 44512-6153
Phone number: 330-726-3700
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Mailing Address
Ms. DESIREE LYNN MAXON PTA
8064 SOUTH AVE
BOARDMAN, OH 44512-6153
Phone number: 330-726-3700
Copy
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