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1861592784
MARK HENRY EVENINGRED
MACOMB, MI
NPI
1861592784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501005092)
Enumeration Date
2006-09-22
Last Update Date
2014-10-16
Business Address
-- MARK HENRY EVENINGRED M.P.T.
17900 23 MILE RD STE 401
MACOMB, MI 48044-1161
Phone number: 586-868-9040
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Mailing Address
-- MARK HENRY EVENINGRED M.P.T.
48675 AMERICAN ELM DR
MACOMB, MI 48044-1429
Phone number: 586-263-4910
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