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1780836700
GLENN EUGENE KERSHAW
MENTOR, OH
NPI
1780836700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 03121)
Enumeration Date
2008-10-22
Last Update Date
2008-10-22
Business Address
-- GLENN EUGENE KERSHAW PTA
9002 MENTOR AVE
MENTOR, OH 44060-6302
Phone number: 440-266-1901
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Mailing Address
-- GLENN EUGENE KERSHAW PTA
9002 MENTOR AVE
MENTOR, OH 44060-6302
Phone number: 440-266-1901
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