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Individual

MR. ERNEST CASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1701 S 11TH ST, KALAMAZOO, MI 49009-1775
(269) 375-2020
(269) 375-7990
Mailing address
1701 S. 11TH ST., KALAMAZOO, MI 49009
(269) 375-2020
(269) 375-7990

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001887
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306893805
MI
Enumeration date
11/08/2013
Last updated
11/08/2013
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