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1013413939
BRIAN CARMONA
MONROE, MI
NPI
1013413939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201010045)
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
BRIAN CARMONA OTRL
700 STEWART RD
MONROE, MI 48162-5304
Phone number: 734-240-1820
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Mailing Address
BRIAN CARMONA OTRL
1470 BUD AVE
YPSILANTI, MI 48198-3309
Phone number: 937-307-4788
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