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1902446958
MAR LU MONGCOPA MARTINEZ
LIVONIA, MI
NPI
1902446958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501013558)
Enumeration Date
2020-01-07
Last Update Date
2020-01-07
Business Address
MAR LU MONGCOPA MARTINEZ PT
36313 ST ANDREWS DR
LIVONIA, MI 48152-4130
Phone number: 248-805-2621
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Mailing Address
MAR LU MONGCOPA MARTINEZ PT
36313 ST ANDREWS DR
LIVONIA, MI 48152-4130
Phone number: 248-805-2621
Copy
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