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1770091878
SERENA RENEE WILSON
NOVI, MI
NPI
1770091878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001775)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
SERENA RENEE WILSON ATC
23655 NOVI RD
NOVI, MI 48375-5442
Phone number: 248-277-3440
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Mailing Address
SERENA RENEE WILSON ATC
23241 RENSSELAER ST
OAK PARK, MI 48237-6800
Phone number:
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