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1104177500
MARK ANTHONY MAGIN
KALAMAZOO, MI
NPI
1104177500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 5201004848)
Enumeration Date
2012-09-25
Last Update Date
2012-09-25
Business Address
MR. MARK ANTHONY MAGIN OTR, QMHP
414 S BURDICK ST STE. 200
KALAMAZOO, MI 49007-6219
Phone number: 269-381-4446
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Mailing Address
MR. MARK ANTHONY MAGIN OTR, QMHP
414 S BURDICK ST STE. 200
KALAMAZOO, MI 49007-6219
Phone number: 269-381-4446
Copy
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