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Individual
MR. MICHAEL G SHORT
Active
Individual
MR. MICHAEL G SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., C-PED
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED4280
OR
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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