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1104946094
IMELDA CUA AVILA
WARREN, MI
NPI
1104946094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501004333)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
-- IMELDA CUA AVILA P.T.
26757 PATRICIA AVE
WARREN, MI 48091-4137
Phone number: 586-757-6379
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Mailing Address
-- IMELDA CUA AVILA P.T.
26757 PATRICIA AVE
WARREN, MI 48091-4137
Phone number:
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