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1154075083
MAX MODRALL
SAGINAW, MI
NPI
1154075083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201012802)
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
MAX MODRALL MSOT, OTRL
1447 N HARRISON ST
SAGINAW, MI 48602-4727
Phone number: 989-583-0000
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Mailing Address
MAX MODRALL MSOT, OTRL
5259 S GLEN OAK DR
SAGINAW, MI 48603-1764
Phone number: 989-280-9559
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