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1215139050
ANGEL MARIE VANCE
DETROIT, MI
NPI
1215139050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 04870)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
ANGEL MARIE VANCE P.T.A
1331 TRUMBULL ST STE 100
DETROIT, MI 48216-1376
Phone number: 313-962-9050
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Mailing Address
ANGEL MARIE VANCE P.T.A
19977 HUDSON BAY
CLINTON TWP, MI 48038-1493
Phone number: 586-416-1990
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