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1376034025
TAKESHI MIZOBUCHI
DETROIT, MI
NPI
1376034025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201009310)
Enumeration Date
2018-05-29
Last Update Date
2018-05-29
Business Address
TAKESHI MIZOBUCHI
261 MACK AVE
DETROIT, MI 48201-2495
Phone number: 313-745-1100
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Mailing Address
TAKESHI MIZOBUCHI
261 MACK AVE
DETROIT, MI 48201-2495
Phone number: 313-745-1100
Copy
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