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1255195293
TANYA ABELLA AZCONA
SHELBY TOWNSHIP, MI
NPI
1255195293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502008487)
Enumeration Date
2024-02-09
Last Update Date
2024-02-09
Business Address
TANYA ABELLA AZCONA PTA
15023 21 MILE RD
SHELBY TOWNSHIP, MI 48315-5024
Phone number: 586-286-9644
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Mailing Address
TANYA ABELLA AZCONA PTA
15023 21 MILE RD
SHELBY TOWNSHIP, MI 48315-5024
Phone number: 586-286-9644
Copy
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