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1952498875
CHILD AND ADOLESCENT CENTER P C
SOUTHGATE, MI
NPI
1952498875
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Entity Type
Organization
Authorized Contact
PAULA GREEN
Office Manager
734-283-4616
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-10-10
Last Update Date
2011-12-13
Business Address
CHILD AND ADOLESCENT CENTER P C
15350 TRENTON RD
SOUTHGATE, MI 48195-2027
Phone number: 734-283-4616
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Mailing Address
CHILD AND ADOLESCENT CENTER P C
15350 TRENTON RD
SOUTHGATE, MI 48195-2027
Phone number: 734-283-4616
Copy
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