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1417509902
ALONZO GERRARD GROGGINS
DEARBORN, MI
NPI
1417509902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001380)
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
ALONZO GERRARD GROGGINS ATC, AT
13800 FORD RD
DEARBORN, MI 48126-3296
Phone number: 313-308-7195
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Mailing Address
ALONZO GERRARD GROGGINS ATC, AT
20434 KLINGER ST
DETROIT, MI 48234-1746
Phone number: 313-308-7195
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