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1679603575
SHAWN MICHAEL BLACK
TRAVERSE CITY, MI
NPI
1679603575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501011285)
Enumeration Date
2007-03-07
Last Update Date
2008-02-26
Business Address
Mr. SHAWN MICHAEL BLACK M.S., P.T.
3271 RACQUET CLUB DR
TRAVERSE CITY, MI 49684-4708
Phone number: 231-932-9720
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Mailing Address
Mr. SHAWN MICHAEL BLACK M.S., P.T.
3924 LEESIDE LN
TRAVERSE CITY, MI 49686-8131
Phone number:
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