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1457857005
DANIEL WOLOCKO
LIVONIA, MI
NPI
1457857005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: MI 5501011168)
Enumeration Date
2018-04-03
Last Update Date
2018-04-03
Business Address
DANIEL WOLOCKO PT
36475 FIVE MILE RD
LIVONIA, MI 48154-1971
Phone number: 734-655-8240
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Mailing Address
DANIEL WOLOCKO PT
13245 NEWBURGH RD
LIVONIA, MI 48150-5011
Phone number: 734-655-8240
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