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1023415015
GARY ALLEN IBERSHOFF
LIVONIA, MI
NPI
1023415015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501003523)
Enumeration Date
2014-11-19
Last Update Date
2014-11-19
Business Address
Mr. GARY ALLEN IBERSHOFF PT
38777 6 MILE RD STE 209
LIVONIA, MI 48152-2660
Phone number: 734-452-0395
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Mailing Address
Mr. GARY ALLEN IBERSHOFF PT
38777 6 MILE RD STE 209
LIVONIA, MI 48152-2660
Phone number: 734-452-0395
Copy
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