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1710551023
RAYFORD ELLISON
SOUTHFIELD, MI
NPI
1710551023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501011108)
Enumeration Date
2021-05-20
Last Update Date
2021-05-20
Business Address
RAYFORD ELLISON PT
29877 TELEGRAPH RD
SOUTHFIELD, MI 48034-1332
Phone number: 248-450-3163
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Mailing Address
RAYFORD ELLISON PT
31755 RIDGESIDE DR APT 24
FARMINGTN HLS, MI 48334-1276
Phone number: 313-506-0909
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