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1174020606
ALICIA MALL
ROYAL OAK, MI
NPI
1174020606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201009649)
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
ALICIA MALL OTRL
4949 COOLIDGE HWY
ROYAL OAK, MI 48073-1026
Phone number: 248-655-5660
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Mailing Address
ALICIA MALL OTRL
102 SLATESTONE DR
SAGINAW, MI 48603-3577
Phone number: 989-780-4984
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