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1568678084
CEASAR AGUSTIN GUTIERREZ
DAVISON, MI
NPI
1568678084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501008368)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
Mr. CEASAR AGUSTIN GUTIERREZ
1248 N IRISH RD
DAVISON, MI 48423-2213
Phone number: 810-658-1808
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Mailing Address
Mr. CEASAR AGUSTIN GUTIERREZ
5208 ROLLING HILLS DR
GRAND BLANC, MI 48439-9045
Phone number: 810-701-5693
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