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1255529434
ERICK FOUNTAIN
MACOMB, MI
NPI
1255529434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501010159)
Enumeration Date
2007-10-12
Last Update Date
2007-10-12
Business Address
-- ERICK FOUNTAIN PT
21384 PINE CONE DR
MACOMB, MI 48042-4335
Phone number: 586-949-5334
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Mailing Address
-- ERICK FOUNTAIN PT
21384 PINE CONE DR
MACOMB, MI 48042-4335
Phone number: 586-949-5334
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