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1689820268
JEFFERSON WIGGINS
SOUTHFIELD, MI
NPI
1689820268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501006791)
Enumeration Date
2008-08-14
Last Update Date
2015-12-29
Business Address
Mr. JEFFERSON WIGGINS PT
24901 NORTHWESTERN HWY SUITE #113
SOUTHFIELD, MI 48075
Phone number: 947-282-8575
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Mailing Address
Mr. JEFFERSON WIGGINS PT
PO BOX 1865
DEARBORN, MI 48121
Phone number: 313-658-0277
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