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1356884746
MICHAEL R. LICATA
ROYAL OAK, MI
NPI
1356884746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704272498)
Enumeration Date
2016-12-02
Last Update Date
2016-12-02
Business Address
MR. MICHAEL R. LICATA CRNA
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-7784
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Mailing Address
MR. MICHAEL R. LICATA CRNA
130 TOWN CENTER DR 203
TROY, MI 48084-1744
Phone number: 248-585-8250
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