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1639865199
PETER SISUNG
DETROIT, MI
NPI
1639865199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502004366)
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
PETER SISUNG
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
PETER SISUNG
21829 WOODRUFF RD APT A4
ROCKWOOD, MI 48173-1059
Phone number: 513-321-8671
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