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1821394958
AUDREY JANE LUNG
KALAMAZOO, MI
NPI
1821394958
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Former Name
AUDREY JANE SHARP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502001388)
Enumeration Date
2011-02-08
Last Update Date
2011-02-08
Business Address
Mrs. AUDREY JANE LUNG PTA
5659 STADIUM DR STE A
KALAMAZOO, MI 49009-1932
Phone number: 269-372-0436
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Mailing Address
Mrs. AUDREY JANE LUNG PTA
5659 STADIUM DR STE A
KALAMAZOO, MI 49009-1932
Phone number: 269-372-0436
Copy
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