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1639497027
MATTHEW JAMES KERNAN
TAMPA, FL
NPI
1639497027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 21681)
Enumeration Date
2010-05-10
Last Update Date
2010-05-10
Business Address
Mr. MATTHEW JAMES KERNAN P.T.A
16002 LAKE SHORE VILLA DR
TAMPA, FL 33613
Phone number: 813-968-5093
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Mailing Address
Mr. MATTHEW JAMES KERNAN P.T.A
105 N 5TH AVE
MADILL, OK 73446-1200
Phone number: 580-795-3301
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