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1124562954
ANDREW GOFORTH
FENTON, MI
NPI
1124562954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: MI 7501007374)
Enumeration Date
2016-12-13
Last Update Date
2016-12-13
Business Address
-- ANDREW GOFORTH LMT.
3308 ARBOR DR
FENTON, MI 48430-3127
Phone number: 810-333-7990
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Mailing Address
-- ANDREW GOFORTH LMT.
3308 ARBOR DR.
FENTON, MI 48430-3127
Phone number: 810-333-7990
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