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1215274980
ADAM CARROLL
LIVONIA, MI
NPI
1215274980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501014745)
Enumeration Date
2013-01-14
Last Update Date
2014-05-29
Business Address
Mr. ADAM CARROLL PT, DPT
15024 LYONS ST
LIVONIA, MI 48154-3958
Phone number: 573-366-7020
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Mailing Address
Mr. ADAM CARROLL PT, DPT
603B N FAIR ST
MARION, IL 62959-3906
Phone number: 573-366-7020
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