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1063842946
AUDREY THELEN
LANSING, MI
NPI
1063842946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007426)
Enumeration Date
2013-11-14
Last Update Date
2013-11-14
Business Address
-- AUDREY THELEN COTA/L
731 STARKWEATHER DR
LANSING, MI 48917-1128
Phone number: 517-323-9133
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Mailing Address
-- AUDREY THELEN COTA/L
1041 W MAIN ST
GRAND LEDGE, MI 48837-1007
Phone number: 517-449-6872
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