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1417596586
NICOLE MARIE GRATES
LIVONIA, MI
NPI
1417596586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502005802)
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
NICOLE MARIE GRATES PTA
15132 LEVAN RD
LIVONIA, MI 48154-5027
Phone number: 734-462-1703
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Mailing Address
NICOLE MARIE GRATES PTA
18415 FOCH ST
LIVONIA, MI 48152-3812
Phone number: 248-974-4646
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