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1912114232
LODIA A RUNCO
SOUTHFIELD, MI
NPI
1912114232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201001703)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- LODIA A RUNCO O.T.
29829 TELEGRAPH RD SUITE 201
SOUTHFIELD, MI 48034-1330
Phone number: 248-352-4263
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Mailing Address
-- LODIA A RUNCO O.T.
PO BOX 523
JENISON, MI 49429-0523
Phone number: 616-457-4919
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