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1831614361
LEE CLARK GREEN
BLOOMFIELD HILLS, MI
NPI
1831614361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: MI 3203058614)
Enumeration Date
2017-08-05
Last Update Date
2017-08-05
Business Address
LEE CLARK GREEN EMT-B
1410 S TELEGRAPH RD
BLOOMFIELD HILLS, MI 48302-0046
Phone number: 248-456-8150
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Mailing Address
LEE CLARK GREEN EMT-B
2500 MANN RD LOT 141
CLARKSTON, MI 48346-4271
Phone number: 248-410-2793
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