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1801354147
JORDAN MALIK LAWAL
DETROIT, MI
NPI
1801354147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501019020)
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
JORDAN MALIK LAWAL PT, DPT
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-9793
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Mailing Address
JORDAN MALIK LAWAL PT, DPT
18540 JEANETTE ST
SOUTHFIELD, MI 48075-1727
Phone number: 517-803-1398
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