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1942701735
DEANNA RENEE WIRICK
SAINT CLAIR SHORES, MI
NPI
1942701735
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Former Name
DEANNA RENEE LUCAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: MI 5501010198)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
Mrs. DEANNA RENEE WIRICK MPT
20952 E 12 MILE RD STE 110
SAINT CLAIR SHORES, MI 48081-3202
Phone number: 586-498-3500
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Mailing Address
Mrs. DEANNA RENEE WIRICK MPT
22019 NORMANDY AVE
EASTPOINTE, MI 48021-2511
Phone number: 586-776-3728
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