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1114286549
LISA LOGOMARSINO
SOUTHGATE, MI
NPI
1114286549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: MI 5201008253)
Enumeration Date
2012-05-04
Last Update Date
2012-05-04
Business Address
-- LISA LOGOMARSINO
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7700
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Mailing Address
-- LISA LOGOMARSINO
910 FERNWOOD RD
ROYAL OAK, MI 48067-1641
Phone number: 586-634-7058
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