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1639688393
COLETTE MARIE ICASIANO CLAYTON
CLINTON TOWNSHIP, MI
NPI
1639688393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008354)
Enumeration Date
2017-09-26
Last Update Date
2022-09-01
Business Address
Ms. COLETTE MARIE ICASIANO CLAYTON M.S., P.A.-C
39621 GARFIELD RD
CLINTON TOWNSHIP, MI 48038-4302
Phone number: 586-226-5555
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Mailing Address
Ms. COLETTE MARIE ICASIANO CLAYTON M.S., P.A.-C
47045 ROSEMARY RD
MACOMB, MI 48044-2582
Phone number: 586-744-5185
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