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1083481956
ADAM JACOB JOSEPH ROSS
DETROIT, MI
NPI
1083481956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502005692)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
ADAM JACOB JOSEPH ROSS PTA
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 810-965-5016
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Mailing Address
ADAM JACOB JOSEPH ROSS PTA
10306 E MOUNT MORRIS RD
DAVISON, MI 48423-9347
Phone number:
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