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1013962877
MALGORZATA AGNIESZKA LATALA
MONROE, MI
NPI
1013962877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501004876)
Enumeration Date
2006-05-23
Last Update Date
2008-04-04
Business Address
Mrs. MALGORZATA AGNIESZKA LATALA PT
1038 N MONROE ST
MONROE, MI 48162-3113
Phone number: 734-242-0101
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Mailing Address
Mrs. MALGORZATA AGNIESZKA LATALA PT
9200 GROH RD
GROSSE ILE, MI 48138-1903
Phone number: 734-676-6959
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