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1720025323
LOURDES ANGELES ALFONSO
DETROIT, MI
NPI
1720025323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MI 4301080618)
Enumeration Date
2006-06-01
Last Update Date
2016-10-14
Business Address
-- LOURDES ANGELES ALFONSO MD
261 MACK AVE REHABILITATION INSTITUTE OF MICHIGAN
DETROIT, MI 48201-2417
Phone number: 313-745-4600
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Mailing Address
-- LOURDES ANGELES ALFONSO MD
1560 E MAPLE RD SUITE 400-CREDENTIALING
TROY, MI 48083-1138
Phone number: 313-745-4600
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