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1689835126
MARVIN JOHN THEILE
DETROIT, MI
NPI
1689835126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: MI 24322)
Enumeration Date
2008-06-18
Last Update Date
2008-06-18
Business Address
Mr. MARVIN JOHN THEILE C.T.R.S.
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
Mr. MARVIN JOHN THEILE C.T.R.S.
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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