BRIAN DEZELAH

CLARKSTON, MI
NPI1801451760
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2019-05-07
Last Update Date2019-05-07
Business Address
BRIAN DEZELAH
7508 M E CAD BLVD
CLARKSTON, MI 48348-4281
Phone number: 248-922-9200
Mailing Address
BRIAN DEZELAH
PO BOX 1708
CLARKSTON, MI 48347-1708
Phone number: 248-922-9200
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