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1174191753
JUSTIN BATES
DETROIT, MI
NPI
1174191753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501020049)
Enumeration Date
2021-06-11
Last Update Date
2021-06-11
Business Address
JUSTIN BATES DPT
2630 E JEFFERSON AVE
DETROIT, MI 48207-4129
Phone number: 313-259-7990
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Mailing Address
JUSTIN BATES DPT
3840 COUSINO RD
ERIE, MI 48133-9754
Phone number:
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