JACKLEEN FARAG MANSOUR

ROCHESTER, MI
NPI1639444185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501012928)
Enumeration Date2012-03-16
Last Update Date2012-03-16
Business Address
-- JACKLEEN FARAG MANSOUR PT
1050 W UNIVERSITY DR SUITE 3
ROCHESTER, MI 48307-1877
Phone number: 248-650-1984
Mailing Address
-- JACKLEEN FARAG MANSOUR PT
604 SPRINGVIEW DR
ROCHESTER, MI 48307-6070
Phone number: 248-650-1984
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