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1487143533
SAMUEL JOHN PENKALA
MIDLAND, MI
NPI
1487143533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201009388)
Enumeration Date
2018-05-04
Last Update Date
2018-05-04
Business Address
SAMUEL JOHN PENKALA OTRL
304 W WACKERLY ST STE 500
MIDLAND, MI 48640-7264
Phone number: 989-832-4220
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Mailing Address
SAMUEL JOHN PENKALA OTRL
304 W WACKERLY ST STE 500
MIDLAND, MI 48640-7264
Phone number: 989-832-4220
Copy
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