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1316281009
AMANDA JEAN CALLOCKIO
JACKSON, MI
NPI
1316281009
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Former Name
AMANDA COSTELLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201008341)
Enumeration Date
2012-11-19
Last Update Date
2019-06-18
Business Address
AMANDA JEAN CALLOCKIO O.T.R.
5025 ANN ARBOR RD
JACKSON, MI 49201-8801
Phone number: 517-764-2000
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Mailing Address
AMANDA JEAN CALLOCKIO O.T.R.
5025 ANN ARBOR RD
JACKSON, MI 49201-8801
Phone number: 517-764-2000
Copy
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