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1114057015
ERICA NESVIG PADDOCK
TRAVERSE CITY, MI
NPI
1114057015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501011658)
Enumeration Date
2007-03-07
Last Update Date
2016-01-27
Business Address
ERICA NESVIG PADDOCK
2950 LAFRANIER RD
TRAVERSE CITY, MI 49686-4918
Phone number: 231-947-0506
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Mailing Address
ERICA NESVIG PADDOCK
226 PONEMAH TRL
BUCKLEY, MI 49620-9554
Phone number:
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