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1780174607
AXALAN G AXALAN
SAINT CLAIR SHORES, MI
NPI
1780174607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501014604)
Enumeration Date
2018-05-16
Last Update Date
2018-06-16
Business Address
AXALAN G AXALAN Physical Therapist
26001 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48081-2309
Phone number: 586-779-7000
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Mailing Address
AXALAN G AXALAN Physical Therapist
2630 UNION LAKE RD
COMMERCE TOWNSHIP, MI 48382-3582
Phone number:
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