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1912005919
MARK ALFRED LEE
SOUTHFIELD, MI
NPI
1912005919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501008453)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
Mr. MARK ALFRED LEE MPT, OMPT
24011 GREENFIELD RD
SOUTHFIELD, MI 48075-3115
Phone number: 248-557-5440
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Mailing Address
Mr. MARK ALFRED LEE MPT, OMPT
26295 PATTOW ST
ROSEVILLE, MI 48066-3561
Phone number: 586-771-9525
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