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1770021149
RYAN MICELI
PETOSKEY, MI
NPI
1770021149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101005418)
Enumeration Date
2017-02-06
Last Update Date
2017-02-06
Business Address
-- RYAN MICELI
2206 MITCHELL PARK DR SUITE 14
PETOSKEY, MI 49770-8674
Phone number: 231-348-7777
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Mailing Address
-- RYAN MICELI
208 E SHERIDAN ST APT 6
PETOSKEY, MI 49770-2956
Phone number: 248-762-8418
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