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1063778884
SOLE SOURCE LLC YOUR DIABETIC SHOE STORE
YPSILANTI, MI
NPI
1063778884
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Entity Type
Organization
Authorized Contact
ANNETTE BOTTUM
Shoe Fitter
734-340-9614
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2012-04-05
Last Update Date
2012-05-22
Business Address
SOLE SOURCE LLC YOUR DIABETIC SHOE STORE
50 N HURON ST
YPSILANTI, MI 48197-2608
Phone number: 734-340-9614
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Mailing Address
SOLE SOURCE LLC YOUR DIABETIC SHOE STORE
50 N HURON ST
YPSILANTI, MI 48197-2608
Phone number: 734-340-9614
Copy
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