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Organization
SAM'S SHOE REPAIR
Active
Organization
SAM'S SHOE REPAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM ROUMANIS (OWNER)
(906) 226-9087
Entity
Organization
Contact information
Practice address
304 N 3RD ST, MARQUETTE, MI 49855-4224
(906) 226-9087
Mailing address
304 N 3RD ST, MARQUETTE, MI 49855-4224
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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