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1386412641
THERESA WITHERS
DETROIT, MI
NPI
1386412641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
THERESA WITHERS Prosthetics
11779 MAIDEN ST
DETROIT, MI 48213-1605
Phone number: 586-900-1707
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Mailing Address
THERESA WITHERS Prosthetics
11779 MAIDEN ST
DETROIT, MI 48213-1605
Phone number: 586-900-1707
Copy
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