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1366917551
KIMBERLY ANTUSHEVICH ROMAN
TROY, MI
NPI
1366917551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101001147)
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
KIMBERLY ANTUSHEVICH ROMAN
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-0660
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Mailing Address
KIMBERLY ANTUSHEVICH ROMAN
44300 DEQUINDRE RD
STERLING HEIGHTS, MI 48314-1003
Phone number: 248-964-0660
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