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1962087262
GERALD LEE PHILO
DEARBORN, MI
NPI
1962087262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502000079)
Enumeration Date
2021-03-17
Last Update Date
2021-03-24
Business Address
GERALD LEE PHILO PTA
5500 AUTO CLUB DR STE 150
DEARBORN, MI 48126-2779
Phone number: 313-982-8266
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Mailing Address
GERALD LEE PHILO PTA
5500 AUTO CLUB DR STE 150
DEARBORN, MI 48126-2779
Phone number: 313-982-8266
Copy
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