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Individual
MR. ROBIN T MARQUEZ
Active
Individual
MR. ROBIN T MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007813
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007197770
AETNA
MI
01
—
113892
PPOM
MI
Enumeration date
12/05/2006
Last updated
10/08/2007
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