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Individual
THERESA A ANZURES
Active
Individual
THERESA A ANZURES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912094525
—
MI
Enumeration date
03/15/2018
Last updated
06/16/2018
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