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1922583301
LAURA ELIZABETH VIEN
DETROIT, MI
NPI
1922583301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601002098)
Enumeration Date
2018-10-01
Last Update Date
2018-10-01
Business Address
Ms. LAURA ELIZABETH VIEN LAT, ATC
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 866-501-3627
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Mailing Address
Ms. LAURA ELIZABETH VIEN LAT, ATC
2770 UPPER RIDGE DR APT 11
ROCHESTER HILLS, MI 48307-4480
Phone number: 813-600-0711
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