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1245371046
KELLY RENE' NUGENT
DETROIT, MI
NPI
1245371046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501008421)
Enumeration Date
2007-02-12
Last Update Date
2018-09-18
Business Address
Mrs. KELLY RENE' NUGENT PT
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-3744
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Mailing Address
Mrs. KELLY RENE' NUGENT PT
3000 CENTERPOINT PKWY
PONTIAC, MI 48341-3116
Phone number: 586-992-3897
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