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1033405964
MARK FHIL QUINTANA MONTON
LIVONIA, MI
NPI
1033405964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501015583)
Enumeration Date
2011-06-20
Last Update Date
2011-06-20
Business Address
Mr. MARK FHIL QUINTANA MONTON PT
14555 LEVAN RD STE 215
LIVONIA, MI 48154-5085
Phone number: 734-542-9770
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Mailing Address
Mr. MARK FHIL QUINTANA MONTON PT
6919 PITTSFORD ST
CANTON, MI 48187-2727
Phone number: 734-709-0187
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