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1851751705
JACOB PETRIMOULX
CLINTON TOWNSHIP, MI
NPI
1851751705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MI 6451022247)
Enumeration Date
2016-03-03
Last Update Date
2023-03-14
Business Address
JACOB PETRIMOULX
44899 CENTRE CT STE 101
CLINTON TOWNSHIP, MI 48038-5510
Phone number: 586-690-8331
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Mailing Address
JACOB PETRIMOULX
11837 DANFORTH DR
STERLING HEIGHTS, MI 48312-2128
Phone number: 586-978-2265
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