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1215688544
NICHOLAS PHOENIX
FARMINGTON HILLS, MI
NPI
1215688544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-01-18
Last Update Date
2022-01-18
Business Address
NICHOLAS PHOENIX
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 248-299-0030
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Mailing Address
NICHOLAS PHOENIX
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 248-299-0030
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