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1881807741
ERICSON G VILLANUEVA
SOUTHFIELD, MI
NPI
1881807741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501012802)
Enumeration Date
2007-05-08
Last Update Date
2007-10-06
Business Address
-- ERICSON G VILLANUEVA P.T.
24901 NORTHWESTERN HWY SUITE 101
SOUTHFIELD, MI 48075-2203
Phone number: 248-358-3000
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Mailing Address
-- ERICSON G VILLANUEVA P.T.
24901 NORTHWESTERN HWY SUITE 101
SOUTHFIELD, MI 48075-2203
Phone number: 248-358-3000
Copy
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