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1104464973
MICKEY THOMPSON THOMPSON
DETROIT, MI
NPI
1104464973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-12-12
Last Update Date
2019-12-12
Business Address
Mr. MICKEY THOMPSON THOMPSON B.S.
4250 WOODWARD AVE
DETROIT, MI 48201-1818
Phone number: 313-446-8028
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Mailing Address
Mr. MICKEY THOMPSON THOMPSON B.S.
4250 WOODWARD AVE
DETROIT, MI 48201-1818
Phone number: 313-446-8028
Copy
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