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1225850688
STEPHANIE FUDALLA
DETROIT, MI
NPI
1225850688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501302364)
Enumeration Date
2024-10-28
Last Update Date
2024-10-28
Business Address
STEPHANIE FUDALLA PT, DPT
261 MACK AVE
DETROIT, MI 48201-2495
Phone number: 313-745-1100
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Mailing Address
STEPHANIE FUDALLA PT, DPT
261 MACK AVE
DETROIT, MI 48201-2495
Phone number: 313-745-1100
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