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1821720475
MICHAEL JAMES PELLICANE
KENT, OH
NPI
1821720475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
MICHAEL JAMES PELLICANE
5982 RHODES RD
KENT, OH 44240-8100
Phone number: 330-673-1347
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Mailing Address
MICHAEL JAMES PELLICANE
5982 RHODES RD
KENT, OH 44240-8100
Phone number: 330-673-1347
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