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1700083599
STEPHEN M KELLEY
CANTON, OH
NPI
1700083599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA-02498)
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
Mr. STEPHEN M KELLEY PTA
4645 BELPAR ST NW
CANTON, OH 44718-3602
Phone number: 330-493-4210
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Mailing Address
Mr. STEPHEN M KELLEY PTA
4645 BELPAR ST NW
CANTON, OH 44718-3602
Phone number: 330-493-4210
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