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1902008519
TRACI L FRACASSA
DETROIT, MI
NPI
1902008519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI L693805)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
Mrs. TRACI L FRACASSA O.T.R
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-3747
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Mailing Address
Mrs. TRACI L FRACASSA O.T.R
6984 PALMS RD
IRA, MI 48023-2214
Phone number: 586-716-9032
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