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1407037716
DORU LICA
TROY, MI
NPI
1407037716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005163)
Enumeration Date
2007-11-15
Last Update Date
2013-12-03
Business Address
-- DORU LICA PA
4967 CROOKS RD SUITE 130
TROY, MI 48098-5801
Phone number: 248-952-1601
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Mailing Address
-- DORU LICA PA
641 PRINCESS DR
CANTON, MI 48188-1143
Phone number: 734-718-2878
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