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1255093712
CULLEN LANE
LIVONIA, MI
NPI
1255093712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501020201)
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
CULLEN LANE DPT
36622 FIVE MILE RD STE 102
LIVONIA, MI 48154-1900
Phone number: 734-542-0200
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Mailing Address
CULLEN LANE DPT
542 SNYDER RD
HIGHLAND, MI 48357-2859
Phone number: 231-570-0142
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