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1992010300
CESAR ELAGO ESTRADA
TROY, MI
NPI
1992010300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501008636)
Enumeration Date
2010-08-10
Last Update Date
2010-08-10
Business Address
Mr. CESAR ELAGO ESTRADA
1421 OGDEN DR
TROY, MI 48083-5392
Phone number: 248-689-2502
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Mailing Address
Mr. CESAR ELAGO ESTRADA
1421 OGDEN DR
TROY, MI 48083-5392
Phone number: 248-689-2502
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