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1760075006
JONATHAN ISHAQ
FLINT, MI
NPI
1760075006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-02-18
Last Update Date
2021-02-18
Business Address
Mr. JONATHAN ISHAQ
4500 S SAGINAW ST
FLINT, MI 48507-2676
Phone number: 810-235-8544
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Mailing Address
Mr. JONATHAN ISHAQ
1208 PINEHURST LN
GRAND BLANC, MI 48439-2600
Phone number:
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