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1154811099
JERSON G JIMENEZ
TROY, MI
NPI
1154811099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501008241)
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
JERSON G JIMENEZ PT
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-4014
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Mailing Address
JERSON G JIMENEZ PT
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number:
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