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1609881010
AGNIESZKA LAZARSKA
TROY, MI
NPI
1609881010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501004964)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- AGNIESZKA LAZARSKA
2922 E MAPLE RD
TROY, MI 48083-4495
Phone number: 248-524-4104
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Mailing Address
-- AGNIESZKA LAZARSKA
4616 TIPTON DR
TROY, MI 48098-4469
Phone number: 248-267-0367
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