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1710470869
NORMAN M ROA
DETROIT, MI
NPI
1710470869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501005501)
Enumeration Date
2018-06-13
Last Update Date
2018-06-13
Business Address
NORMAN M ROA
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-3531
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Mailing Address
NORMAN M ROA
32435 AVONDALE ST
WESTLAND, MI 48186-4905
Phone number: 313-745-3531
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