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1902180920
LISA ANN WOLFGANG
CLARKSTON, MI
NPI
1902180920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2011-10-10
Last Update Date
2011-10-10
Business Address
Mrs. LISA ANN WOLFGANG PTA
7508 M E CAD BLVD STE A
CLARKSTON, MI 48348-4281
Phone number: 248-922-9200
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Mailing Address
Mrs. LISA ANN WOLFGANG PTA
PO BOX 1708
CLARKSTON, MI 48347-1708
Phone number: 248-921-2920
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