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1558725903
ADAM THIESSE
SAINT JOSEPH, MI
NPI
1558725903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001631)
Enumeration Date
2016-04-12
Last Update Date
2016-06-17
Business Address
-- ADAM THIESSE AT, ATC
3950 HOLLYWOOD RD SUITE 140
SAINT JOSEPH, MI 49085-9159
Phone number: 269-556-7150
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Mailing Address
-- ADAM THIESSE AT, ATC
3001 LAKESHORE DR APT 344
SAINT JOSEPH, MI 49085-2382
Phone number: 517-990-5490
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