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1427695857
FREDERICK HENRY MOORE
STERLING HEIGHTS, MI
NPI
1427695857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1744P3200X Specialist Prosthetics Case Management
(Licence: MI 2701493343)
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
MR. FREDERICK HENRY MOORE
14000 LAKESIDE CIR
STERLING HEIGHTS, MI 48313-1320
Phone number: 586-260-6371
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Mailing Address
MR. FREDERICK HENRY MOORE
38511 WELLINGTON DR
CLINTON TOWNSHIP, MI 48036-3520
Phone number: 586-260-6371
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