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1104037944
RICHARD NATHAN KORNSPAN
SOUTHGATE, MI
NPI
1104037944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2007-05-24
Last Update Date
2009-12-10
Business Address
Mr. RICHARD NATHAN KORNSPAN OTR/L
19401 NORTHLINE RD
SOUTHGATE, MI 48195-2277
Phone number: 734-785-7705
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Mailing Address
Mr. RICHARD NATHAN KORNSPAN OTR/L
35986 FAIR OAKS CT
FARMINGTON HILLS, MI 48331-3118
Phone number: 248-488-0244
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