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Individual
NOEL AMPARO
Active
Individual
NOEL AMPARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008335
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501008335
MICHIGAN LICENSE NUMBER
MI
Enumeration date
02/28/2018
Last updated
02/28/2018
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