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1063808020
TIMOTHY KOWALCZYK
YPSILANTI, MI
NPI
1063808020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2015-04-07
Last Update Date
2015-04-07
Business Address
-- TIMOTHY KOWALCZYK CTRS, CBIS
1358 LEVONA ST
YPSILANTI, MI 48198-6440
Phone number: 734-972-0126
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Mailing Address
-- TIMOTHY KOWALCZYK CTRS, CBIS
1358 LEVONA ST
YPSILANTI, MI 48198-6440
Phone number: 734-972-0126
Copy
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