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1497024715
TRACEY LENN JARVIS
PLYMOUTH, MI
NPI
1497024715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR 1297)
Enumeration Date
2011-12-15
Last Update Date
2011-12-15
Business Address
-- TRACEY LENN JARVIS
705 S MAIN ST STE 220
PLYMOUTH, MI 48170-5436
Phone number: 866-874-0036
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Mailing Address
-- TRACEY LENN JARVIS
705 S MAIN ST STE 220
PLYMOUTH, MI 48170-5436
Phone number: 866-874-0036
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