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1043500705
ANNIE JACOB
PLYMOUTH, MI
NPI
1043500705
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Former Name
ANNIE NINAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501011891)
Enumeration Date
2011-04-15
Last Update Date
2011-04-15
Business Address
-- ANNIE JACOB
705 S MAIN ST STE. 220
PLYMOUTH, MI 48170-2089
Phone number: 734-354-8000
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Mailing Address
-- ANNIE JACOB
705 S MAIN ST STE. 220
PLYMOUTH, MI 48170-2089
Phone number: 734-354-8000
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