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1386083616
THOMAS ANDREW LAICHALK
REDFORD, MI
NPI
1386083616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704254937)
Enumeration Date
2013-06-20
Last Update Date
2013-06-20
Business Address
-- THOMAS ANDREW LAICHALK
15361 POMONA DR
REDFORD, MI 48239-3715
Phone number: 313-409-1999
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Mailing Address
-- THOMAS ANDREW LAICHALK
15361 POMONA DR
REDFORD, MI 48239-3715
Phone number:
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