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1336646819
ELENITA MANDILAG CARLSON
GRAND HAVEN, MI
NPI
1336646819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501013549)
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
ELENITA MANDILAG CARLSON P.T.
900 S BEACON BLVD
GRAND HAVEN, MI 49417-2146
Phone number: 616-846-1850
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Mailing Address
ELENITA MANDILAG CARLSON P.T.
14745 MERCURY DR
GRAND HAVEN, MI 49417-9703
Phone number: 973-960-1216
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