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1417432204
RAYMOND LEE FAIR
DETROIT, MI
NPI
1417432204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
RAYMOND LEE FAIR
16151 JAMES COUZENS FWY
DETROIT, MI 48221-2821
Phone number: 313-587-4979
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Mailing Address
RAYMOND LEE FAIR
22475 SHEVINGTON DR
SOUTHFIELD, MI 48034-2128
Phone number: 313-575-6859
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