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1124180617
JURGEN B JANSEN
LIVONIA, MI
NPI
1124180617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501004261)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Mr. JURGEN B JANSEN PT, MDT cert, CLT
14555 LEVAN RD SUITE 215B
LIVONIA, MI 48154-5083
Phone number: 734-542-9770
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Mailing Address
Mr. JURGEN B JANSEN PT, MDT cert, CLT
1209 SHERMAN ST
YPSILANTI, MI 48197-4630
Phone number: 734-487-8114
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