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1578011615
JUSTIN DIEBOLD
YPSILANTI, MI
NPI
1578011615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501017909)
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
-- JUSTIN DIEBOLD
3145 W CLARK RD SUITE 102
YPSILANTI, MI 48197-1120
Phone number: 734-528-9760
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Mailing Address
-- JUSTIN DIEBOLD
3145 W CLARK RD SUITE 102
YPSILANTI, MI 48197-1120
Phone number: 734-528-9760
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