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1972138915
MADISON MARTIN
DETROIT, MI
NPI
1972138915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601002247)
Enumeration Date
2020-03-10
Last Update Date
2020-03-10
Business Address
MADISON MARTIN AT, ATC
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 586-817-3679
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Mailing Address
MADISON MARTIN AT, ATC
26592 AUTUMN LAKE DR
CHESTERFIELD, MI 48051-1989
Phone number: 586-817-3679
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