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1114399789
LECEL SELAUSO
LIVONIA, MI
NPI
1114399789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501011424)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- LECEL SELAUSO PT
17197 N LAUREL PARK DR SUITE 555
LIVONIA, MI 48152-2680
Phone number: 734-779-9700
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Mailing Address
-- LECEL SELAUSO PT
23870 WATERVIEW DR
NEW BOSTON, MI 48164-7805
Phone number:
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