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1558071829
DIVINE MATHES
DETROIT, MI
NPI
1558071829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601002776)
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
DIVINE MATHES
5101 JOHN C LODGE FWY
DETROIT, MI 48202-3327
Phone number: 313-577-4280
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Mailing Address
DIVINE MATHES
23010 HAYES AVE
EASTPOINTE, MI 48021-1541
Phone number:
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