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1477329118
WILLIAM RUSSELL MATHIS
CLINTON TOWNSHIP, MI
NPI
1477329118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
Mr. WILLIAM RUSSELL MATHIS
15600 19 MILE RD
CLINTON TOWNSHIP, MI 48038-3502
Phone number: 586-263-8700
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Mailing Address
Mr. WILLIAM RUSSELL MATHIS
263 1/2 CROCKER BLVD FL 2
MOUNT CLEMENS, MI 48043-2507
Phone number: 586-850-9604
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