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1194438051
CHARLES ANTHONY-ERIK WAFER
DETROIT, MI
NPI
1194438051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502005482)
Enumeration Date
2023-01-05
Last Update Date
2023-01-05
Business Address
CHARLES ANTHONY-ERIK WAFER
5555 CONNER ST
DETROIT, MI 48213-3448
Phone number: 313-208-1006
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Mailing Address
CHARLES ANTHONY-ERIK WAFER
11391 AUBURN ST
DETROIT, MI 48228-1302
Phone number: 313-208-1006
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