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1215313127
ELLEN MARVEL SIMMONS
LANSING, MI
NPI
1215313127
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Former Name
ELLEN MARVEL HERSEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201003844)
Enumeration Date
2015-08-03
Last Update Date
2015-08-03
Business Address
-- ELLEN MARVEL SIMMONS OTRL
2100 E PROVINCIAL HOUSE DR
LANSING, MI 48910-4884
Phone number: 517-272-4029
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Mailing Address
-- ELLEN MARVEL SIMMONS OTRL
11733 SARA ANN DR
DEWITT, MI 48820-7793
Phone number: 517-281-9741
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