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1003402207
VITALIS IM
ANN ARBOR, MI
NPI
1003402207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-12-12
Last Update Date
2022-06-07
Business Address
VITALIS IM
210 COLLINGWOOD ST
ANN ARBOR, MI 48103-3813
Phone number: 248-581-8777
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Mailing Address
VITALIS IM
108 S ADAMS ST UNIT 981076
YPSILANTI, MI 48198-7064
Phone number:
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