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1376565994
JACK G BELEN
SOUTHFIELD, MI
NPI
1376565994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MI JB042374)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- JACK G BELEN MD
20307 WEST 12 MILE ROAD SUITE 102
SOUTHFIELD, MI 48076
Phone number: 248-356-6661
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Mailing Address
-- JACK G BELEN MD
20307 WEST 12 MILE ROAD SUITE 102
SOUTHFIELD, MI 48076
Phone number:
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