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1245848506
ANTON R GONZALES
DETROIT, MI
NPI
1245848506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502004845)
Enumeration Date
2020-07-22
Last Update Date
2020-07-22
Business Address
ANTON R GONZALES
2295 CHENE, DETROIT, MI 48207
DETROIT, MI 48207
Phone number: 313-923-5816
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Mailing Address
ANTON R GONZALES
28431 CUNNINGHAM DR
WARREN, MI 48092-3427
Phone number: 248-464-7132
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