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1265634885
STACIA L LYNDRUP
DETROIT, MI
NPI
1265634885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI L708074)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
Mrs. STACIA L LYNDRUP O.T.R.
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-3747
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Mailing Address
Mrs. STACIA L LYNDRUP O.T.R.
22338 HARRIS CT
MACOMB, MI 48044-6217
Phone number: 586-783-8865
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